NPIMap

Organization Active NPI

Wellness and Resilience Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Dayton, OH
National Provider Identifier
1760105217
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
WELLNESS AND RESILIENCE CENTER LLC
Practice address
51 Best St FL 3
Dayton, OH 45405-4906
Phone
(937) 673-6988
Fax
(937) 223-8638
NPI assigned
Sep 20, 2022
Last updated
Sep 20, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Authorized official

Name
Kimberly J Jarvis
Title
Owner / Executive Director
Phone
(937) 673-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

51 Best St FL 3
Dayton, OH 45405-4906

Mailing address

51 Best St FL 3
Dayton, OH 45405-4906
Phone (937) 673-6988

National Provider Directory

National Provider Directory
Tax ID family
Wellness and Resilience Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1760105217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 BEST ST FL 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054906",
            "telephone_number": "937-673-6988",
            "fax_number": "937-223-8638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 BEST ST FL 3",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454054906",
            "telephone_number": "937-673-6988",
            "fax_number": "937-223-8638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS AND RESILIENCE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER / EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "937-673-6988"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.