Cielo Vitality Health & Wellness Center LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

CIELO VITALITY HEALTH & WELLNESS CENTER LLC

Practice address

36336 Vine St
Suite 100
Willowick, OH 44095-3164

Phone

(216) 261-6398

Fax

(216) 261-6398

NPI assigned

Sep 16, 2014

Last updated

Oct 23, 2014By 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

Donavon Huff, M.S.P.T.

Title

VP. of Operations

Phone

(216) 261-6398

Specialties & licenses 1

Addresses

Other names 1

• Cielo Vitality Health & Wellness Center LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• JD Labash, DO

  • Internal Medicine Physician
  • Dickinson, ND
  • NPI 1114989175
  NPD (past)

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414022400000",
    "number": "1649672106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36336 VINE STREET",
            "address_2": "SUITE 100",
            "city": "EASTLAKE",
            "state": "OH",
            "postal_code": "44095",
            "telephone_number": "216-261-6398",
            "fax_number": "216-261-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36336 VINE ST",
            "address_2": "SUITE 100",
            "city": "WILLOWICK",
            "state": "OH",
            "postal_code": "440953164",
            "telephone_number": "216-261-6398",
            "fax_number": "216-261-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIELO VITALITY HEALTH & WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-16",
        "last_updated": "2014-10-23",
        "status": "A",
        "authorized_official_last_name": "HUFF",
        "authorized_official_first_name": "DONAVON",
        "authorized_official_title_or_position": "VP. OF OPERATIONS",
        "authorized_official_telephone_number": "216-261-6398",
        "authorized_official_credential": "M.S.P.T."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cielo Vitality Health & Wellness Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Christina Castillo, APRN
• Center for Dental Health
• Mary Ann Cervella
• Ruth A Chaza-Ndlovu, CNP
• Sherilyn Dawn Churchia, RDN, LDN
• City of Willowick (Willowick Fire Department)
• Misty Clark Miller
• Marsha Ann Coleman, LISW-S
• Mauro Coletta
• Jennifer Colwill, MSN, APRN

• Multi-Specialty Clinic/Center in Willowick, OH
• Providers in Willowick, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2014; 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.