Active NPI
Homeo LLC
- Chiropractor
- Charleston, SC
National Provider Identifier
1649847765
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- Legal business name
- HOMEO LLC
- Practice address
- 705 Saint Andrews Blvd Ste B
Charleston, SC 29407-7342 - Phone
- (516) 244-2622
- NPI assigned
- Jun 8, 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
- Dr. Matt Weintraub, DC
- Title
- Chiropractor
- Phone
- (516) 244-2622
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | Primary |
Addresses
Primary practice location
705 Saint Andrews Blvd Ste B
Charleston, SC 29407-7342
Mailing address
705 Saint Andrews Blvd Ste B
Charleston, SC 29407-7342
Phone (516) 244-2622
Other names 1
- ChiroCare Therapy Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
705 Saint Andrews Blvd
Ste B
Charleston, SC 29407
Phone (516) 244-2622
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Charleston, SC
- NPI 1487106654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1663804800000",
"number": "1649847765",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "705 SAINT ANDREWS BLVD STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077342",
"telephone_number": "516-244-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "705 SAINT ANDREWS BLVD STE B",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294077342",
"telephone_number": "516-244-2622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOMEO LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-08",
"last_updated": "2022-09-22",
"certification_date": "2022-09-22",
"status": "A",
"authorized_official_last_name": "WEINTRAUB",
"authorized_official_first_name": "MATT",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "516-244-2622",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ChiroCare Therapy Center",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ChiroCare Therapy Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.