Feel Alive Hydration & Wellness LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FEEL ALIVE HYDRATION & WELLNESS LLC

Practice address

204 Foxtail Drive Unit A3
Greenacres, FL 33415

Phone

(561) 933-9101

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Brielle Dyall, APRNNPI 1588256291

Title

Owner

Phone

(561) 933-9101

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Brielle Dyall, APRN

  • Family Nurse Practitioner
  • West Palm Beach, FL
  • NPI 1588256291
  NPD Authorized official

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1962129304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9314 FOREST HILL BLVD STE 816",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334116577",
            "telephone_number": "561-933-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 FOXTAIL DRIVE UNIT A3",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "33415",
            "telephone_number": "561-933-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FEEL ALIVE HYDRATION & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-18",
        "status": "A",
        "authorized_official_last_name": "DYALL",
        "authorized_official_first_name": "BRIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-933-9101",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.charmhealth.com/",
            "affiliation": "N",
            "address_1": "9314 Forest Hill Blvd Ste 816",
            "city": "Wellington",
            "state": "FL",
            "country_code": "US",
            "postal_code": "334116577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Family Investment & Trade Corp
• Family Vision Center P.a.
• Faryal Izhar Farooqi, M.D.
• Marieline Faustin
• FCM Supply LLC
• Lisa Gema Feldman, OTRL
• Edgardo Feliciano, M.D.
• Brian Ferber, DMD
• Dunia Fernandez Carmona
• Omar Fernandez de Soignie, RBT

• Home Health Agency in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.