Organization Active NPI

Network of Wellness, LLC

  • Community/Behavioral Health Agency
  • Little Rock, AR
National Provider Identifier
1790928539
Registry record updated Apr 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
NETWORK OF WELLNESS, LLC
Practice address
801 Scott St
Little Rock, AR 72201-4613
Phone
(501) 221-7238
Fax
(501) 221-7239
NPI assigned
Apr 9, 2009
Last updated
Apr 9, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2009

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

Authorized official

Name
Dr. Gregory S Kaczenski, M.D.NPI 1073661310
Title
Director
Phone
(501) 221-7238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

801 Scott St
Little Rock, AR 72201-4613

Mailing address

801 Scott St
Little Rock, AR 72201-4613
Phone (501) 221-7238

National Provider Directory

National Provider Directory

Locations

801 Scott St
Little Rock, AR 72201
Phone (501) 221-7238

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239235200000",
    "number": "1790928539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SCOTT ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722014613",
            "telephone_number": "501-221-7238",
            "fax_number": "501-221-7239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 SCOTT ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722014613",
            "telephone_number": "501-221-7238",
            "fax_number": "501-221-7239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETWORK OF WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A",
        "authorized_official_last_name": "KACZENSKI",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "501-221-7238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.