Organization Active NPI

Sacred Touch Massage LLC.

  • Health Maintenance Organization
  • Burr Ridge, IL
National Provider Identifier
1932500725
Registry record updated Sep 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
227.013300 Issued in IL
Legal business name
SACRED TOUCH MASSAGE LLC.
Doing business as
sacred touch massage
Practice address
50 Burr Ridge Pkwy
Burr Ridge, IL 60527-0835
Phone
(630) 656-3798
NPI assigned
Sep 11, 2014
Organization subpart
Yes
Parent organization
0244674803As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 11, 2014

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

Authorized official

Name
Daniel Elias Palos, L.M.TNPI 1194071407
Title
Massage Therapist
Phone
(630) 656-3798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 227.013300 IL Primary

Addresses

Primary practice location

50 Burr Ridge Pkwy
Burr Ridge, IL 60527-0835

Mailing address

6101 Knoll Wood Rd
306
Willowbrook, IL 60527
Phone (630) 656-3798

Other names 1

  • sacred touch massage Doing business as

National Provider Directory

National Provider Directory
Part of
Sacred Touch Massage LLC

Locations

50 Burr Ridge Pkwy
Burr Ridge, IL 60527
Phone (630) 656-3798

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1410393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410393600000",
    "number": "1932500725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 KNOLL WOOD RD",
            "address_2": "306",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-656-3798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BURR RIDGE PKWY",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270835",
            "telephone_number": "630-656-3798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED TOUCH MASSAGE LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "0244674803",
        "enumeration_date": "2014-09-11",
        "last_updated": "2014-09-11",
        "status": "A",
        "authorized_official_last_name": "PALOS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "ELIAS",
        "authorized_official_title_or_position": "MASSAGE THERAPIST",
        "authorized_official_telephone_number": "630-656-3798",
        "authorized_official_credential": "L.M.T"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "227.013300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sacred touch massage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Burr Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2014; 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.