Active NPI
Zen Up Wellness LLC
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1609469725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ZEN UP WELLNESS LLC
- Practice address
- 1445 Woodmont LN NW Ste 3391
Atlanta, GA 30318-2866 - Phone
- (470) 485-7192
- NPI assigned
- Feb 19, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Garcia, MED
- Title
- Founder
- Phone
- (470) 485-7192
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Meals Provider | 174200000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X |
Addresses
Primary practice location
1445 Woodmont LN NW Ste 3391
Atlanta, GA 30318-2866
Mailing address
1720 Ware Ave
East Point, GA 30344-3023
Phone (707) 342-3337
Other names 1
- Kevin Garcia
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628035200000",
"number": "1609469725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 WARE AVE",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443023",
"telephone_number": "707-342-3337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1445 WOODMONT LN NW STE 3391",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182866",
"telephone_number": "470-485-7192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ZEN UP WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-19",
"last_updated": "2021-08-04",
"certification_date": "2021-08-04",
"status": "A",
"authorized_official_last_name": "GARCIA",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "470-485-7192",
"authorized_official_credential": "MED"
},
"taxonomies": [
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Kevin Garcia",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.