Vira Wellness Center LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

VIRA WELLNESS CENTER LLC

Practice address

1845 N Larrabee St Apt 204
Chicago, IL 60614-5246

Phone

(773) 437-0731

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By 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

Ms. Vanester Joneas, BS, EDD, CRRA, MCAP

Title

Compliance Director

Phone

(954) 805-0177

Specialties & licenses 1

Addresses

Other names 1

• Vira Wellness Center LLC Former legal business name

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1881254175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1845 N LARRABEE ST APT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145246",
            "telephone_number": "773-437-0731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 N LARRABEE ST APT 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606145246",
            "telephone_number": "773-437-0731"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4359 N. Cicero Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60641",
            "country_code": "US",
            "telephone_number": "773-437-0731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VIRA WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "JONEAS",
        "authorized_official_first_name": "VANESTER",
        "authorized_official_title_or_position": "COMPLIANCE DIRECTOR",
        "authorized_official_telephone_number": "954-805-0177",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, EDD, CRRA, MCAP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vira Wellness Center LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.