Organization Active NPI

Total Wellness Centers, LLC

Doing business as Cleanslate Centers

  • Clinical Medical Laboratory
  • Holyoke, MA
National Provider Identifier
1770020018
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
TOTAL WELLNESS CENTERS, LLC
Doing business as
Cleanslate Centers
Practice address
59 Bobala Rd
Holyoke, MA 01040-9689
Phone
(413) 584-2173
Fax
(833) 279-7074
NPI assigned
Jan 25, 2017
Last updated
Aug 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Authorized official

Name
Paul Rogers Anderson
Title
Vice President
Phone
(615) 425-0220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MA Primary

Addresses

Primary practice location

59 Bobala Rd
Holyoke, MA 01040-9689

Mailing address

155 Franklin Rd Ste 430
Brentwood, TN 37027-1602
Phone (615) 425-0220

Other names 1

  • Cleanslate Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170614002925 MA Part B Supplier - Independent Clinical Laboratory 2860536919 Practice locations: Holyoke, MA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
22D1105941Cleanslate Centers59 Bobala Rd, Holyoke, MA 01040ComplianceOct 5, 2027

National Provider Directory

National Provider Directory

Locations

580 Cottage Grove Rd
#209210
Bloomfield, CT 06002
Phone (877) 218-2340

1500 Leestown Rd
Ste 110
Lexington, KY 40511
Phone (502) 657-2701

201 Main St
Athol, MA 01331
Phone (978) 248-0442

211 State St
#C
Belchertown, MA 01007
Phone (413) 725-4214

59 Meridian St
East Boston, MA 02128
Phone (413) 341-1781

82 Paris St
Fl 3
East Boston, MA 02128
Phone (617) 874-4160

15 Carlson Ln
Unit B
Falmouth, MA 02540

275 Nichols Rd
#2
Fitchburg, MA 01420
Phone (978) 401-3970

1 Arch Pl
Ste 3
Greenfield, MA 01301
Phone (413) 341-1892

384 High St
Holyoke, MA 01040
Phone (413) 536-7385

165 Mill St
Unit 2
Leominster, MA 01453
Phone (978) 227-1046

280 Union St
Ste 302
Lynn, MA 01901
Phone (781) 731-6804

320 Bolton St
Ste 103
Marlborough, MA 01752

92 Grape St
New Bedford, MA 02740
Phone (508) 991-4100

77 Hospital Ave
Ste 107
North Adams, MA 01247
Phone (413) 664-6111

294 1st St
Pittsfield, MA 01201
Phone (413) 443-7799

53 Eagle St
Ste 3
Pittsfield, MA 01201
Phone (413) 236-5959

1985 Main St
Ste E
Springfield, MA 01103
Phone (413) 361-4587

85 South St
Ware, MA 01082
Phone (413) 967-2201

117 Park Ave
West Springfield, MA 01089
Phone (413) 209-3124

12 Cadillac Dr
Ste 380
Brentwood, TN 37027

Practitioners & affiliated clinicians

Practitioners 76

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 76

NPI Registry JSON

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

{
    "created_epoch": "1485302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787702400000",
    "number": "1770020018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 FRANKLIN RD STE 430",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370271602",
            "telephone_number": "615-425-0220",
            "fax_number": "833-279-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BOBALA RD",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010409689",
            "telephone_number": "413-584-2173",
            "fax_number": "833-279-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL WELLNESS CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-25",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ROGERS",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-425-0220"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cleanslate Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cleanslate Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Holyoke, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.