Organization Active NPI

Wellness Lifestyles LLC

  • Durable Medical Equipment & Medical Supplies
  • Virginia Beach, VA
National Provider Identifier
1881972263
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
WELLNESS LIFESTYLES LLC
Practice address
100 Pennsylvania Ave
Virginia Beach, VA 23462-2512
Phone
(757) 497-7809
Fax
(757) 301-5050
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Authorized official

Name
Mr. James Kennedy VII
Title
Member
Phone
(757) 497-7809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X VA Primary

Addresses

Primary practice location

100 Pennsylvania Ave
Virginia Beach, VA 23462-2512

Mailing address

100 Pennsylvania Ave
Virginia Beach, VA 23462-2512
Phone (757) 497-7809

National Provider Directory

National Provider Directory

Locations

100 Pennsylvania Ave
Virginia Beach, VA 23462
Phone (757) 497-7809

NPI Registry JSON

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312243200000",
    "number": "1881972263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PENNSYLVANIA AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622512",
            "telephone_number": "757-497-7809",
            "fax_number": "757-301-5050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PENNSYLVANIA AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234622512",
            "telephone_number": "757-497-7809",
            "fax_number": "757-301-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS LIFESTYLES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2011-08-02",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "757-497-7809",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "VII"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; 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.