Luna Living Brain Energy Spa, LLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

LUNA LIVING BRAIN ENERGY SPA, LLC

Practice address

8535 Tanglewood SQ Ste T10
Chagrin Falls, OH 44023-6433

Phone

(440) 703-0940

NPI assigned

Mar 24, 2016

Last updated

Mar 24, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Wendy Komac

Title

Ceo

Phone

(440) 703-0941

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458777600000",
    "number": "1619339090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8535 TANGLEWOOD SQ STE T10",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236433",
            "telephone_number": "440-703-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8535 TANGLEWOOD SQ STE T10",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440236433",
            "telephone_number": "440-703-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUNA LIVING BRAIN ENERGY SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2016-03-24",
        "status": "A",
        "authorized_official_last_name": "KOMAC",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "440-703-0941",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherrie Suzanne Linden
• Lisa Lloyd
• LS Physical Therapy and Rehabilitation Services, LLC
• Ellen Stevenson Lucey, OTR/L
• Lynn Ann Luna Jones, PH.D., ABPP
• Heidi Maclearie
• Rachel Macwhinnie
• Laurie Christine Maglietta
• James T. Maier, PT, MS
• Rena Mammoo

• Infusion Therapy Clinic/Center in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Infusion Therapy Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.