Advanced Healing and Wellness Group LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ADVANCED HEALING AND WELLNESS GROUP LLC

Practice address

929 E Commercial Ave
Lowell, IN 46356-2307

Phone

(219) 233-5400

Fax

(219) 292-4100

NPI assigned

Jun 13, 2024

Organization subpart

No

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

Authorized official

Name

Diane Oman

Title

Office Manamanager

Phone

(219) 233-5400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Lynn Elder, FNP-C

  • Family Nurse Practitioner
  • Lowell, IN
  • NPI 1518379130

  IN

  Medicare reassignment NPD
• Jeannette Reed, NP

  • Primary Care Nurse Practitioner
  • Lowell, IN
  • NPI 1124954060
  NPD (past)

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733097600000",
    "number": "1730922154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 JOLIET ST STE 129-16",
            "city": "DYER",
            "state": "IN",
            "postal_code": "463111765",
            "telephone_number": "219-233-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463562307",
            "telephone_number": "219-233-5400",
            "fax_number": "219-292-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED HEALING AND WELLNESS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-13",
        "last_updated": "2024-12-02",
        "certification_date": "2024-12-02",
        "status": "A",
        "authorized_official_last_name": "OMAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "OFFICE MANAMANAGER",
        "authorized_official_telephone_number": "219-233-5400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accelerated Rehabilitation Centers, LTD
• Brian Joseph Addlesberger, OTR
• Mohammad Samir Al-Kharrat, M.D.
• Kristy Alvarez
• Eva Ruth Anderson, RPH
• Arc Bridges, Inc
• Justin Bales, DPT

• All providers in Lowell, IN
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2024; 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.

Verify at the official NPI Registry.