Healing Department L.L.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HEALING DEPARTMENT L.L.C.

Practice address

4241 NW American LN
Lake City, FL 32055-4881

Phone

(352) 398-2695

Fax

(386) 935-4331

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Jose I Ayala

Title

Owner

Phone

(386) 365-4397

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1790444529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4241 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "352-398-2695",
            "fax_number": "386-935-4331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4241 NW AMERICAN LN",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320554881",
            "telephone_number": "352-398-2695",
            "fax_number": "386-935-4331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING DEPARTMENT L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "AYALA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-365-4397",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earline Haynes
• Belinda Scott Hayter, L.P.N.
• Christopher Hayton, LCSW
• HC Healthcare Inc
• Renee Head
• Healthcore Inc
• Healthworks of Lake City, Inc.
• Hearing Care Resources, Inc.
• Hearing Solutions Inc
• Heartland Womens Health Center P a

• Physical Therapist in Lake City, FL
• Providers in Lake City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.