Elysian Corp

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

84000100A Issued in IN

Legal business name

ELYSIAN CORP

Doing business as

Elysian Center for Health and Wellness

Practice address

51099 Bittersweet Rd
Granger, IN 46530-4990

Phone

(574) 210-4982

NPI assigned

Aug 7, 2014

Last updated

Aug 7, 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

Dr. Michele Apostolou

Title

President

Phone

(574) 210-4982

Specialties & licenses 1

Addresses

Other names 1

• Elysian Center for Health and Wellness Doing business as

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1750790374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 EDGEWOOD DR",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466162112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51099 BITTERSWEET RD",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465304990",
            "telephone_number": "574-210-4982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELYSIAN CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "APOSTOLOU",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-210-4982",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "IN",
            "license": "84000100A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elysian Center for Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Acupuncturist in Granger, IN
• Providers in Granger, IN by specialty
• Acupuncturist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.