Ronnels Mind Body and Mental Wellness LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

RONNELS MIND BODY AND MENTAL WELLNESS LLC

Practice address

1155 183Rd St
Homewood, IL 60430-3507

Phone

(708) 288-1099

NPI assigned

Apr 26, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Benedeth N Nwumeh, DNP,PMHNP,FNP

Title

Director

Phone

(708) 288-1099

Specialties & licenses 1

Addresses

Other names 1

• Ronnels Healthcare Other name

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1558005322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303507",
            "telephone_number": "708-288-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303507",
            "telephone_number": "708-288-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONNELS MIND BODY AND MENTAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-26",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-24",
        "status": "A",
        "authorized_official_last_name": "NWUMEH",
        "authorized_official_first_name": "BENEDETH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "708-288-1099",
        "authorized_official_credential": "DNP,PMHNP,FNP"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ronnelshealthcare.com",
            "affiliation": "N",
            "endpointDescription": "website, but can also use email ronnelswellness@gmail.com",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email ronnelswellness@gmail.com",
            "address_1": "1155 183rd St",
            "city": "Homewood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604303507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Ronnels Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Providers in Homewood, IL by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.