REJUV HEALTH MAKEOVERS (NPI# 1164726303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164726303 |
| Entity Type | Organization |
| Organization Name | REJUV HEALTH MAKEOVERS |
| Practice Address |
742 Tenacity, Unit A Longmont CO 80504 |
| Mailing Address |
1120 Chestnut Drive Longmont CO 80503-7636 |
| Practice Telephone | 7203315756 |
| Mailing Telephone | 7203315756 |
| Enumeration Date | 2011-01-03 |
| Last Update Date | 2011-01-03 |
| Authorized Official Name | DR. BEAU MAULDIN (OWNER) |
| Authorized Official Telephone | 7203315756 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 4835 | CO | Chiropractic Providers |
| Street Address |
742 TENACITY, UNIT A |
| City | LONGMONT |
| State | CO |
| Zip Code | 80504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942776620 | Cinde S Yoho | Social Worker | 9485 County Road 15, Firestone, CO 80504 | 2018-10-19 |
| 1427544881 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 310 Lashley St Ste 109, Longmont, CO 80504 | 2018-07-09 |
| 1962913962 | Melissa Frick | Counselor | 10184 E I-25 Frontage Rd, Firestone, CO 80504 | 2017-10-17 |
| 1558757260 | Firestone Pediatric Dentistry and Orthodontics | Dentist | 8301 Colorado Blvd, Suite 200, Firestone, CO 80504 | 2015-04-09 |
| 1912392671 | Ashley Lerwick | Speech-Language Pathologist | 11169 Interstate I25 Frontage Rd, Firestone, CO 80504 | 2015-03-31 |
| 1780077685 | Roger Leon Jorgensen | Ophthalmology | 14222 N 95 Si, Longmont, CO 80504 | 2015-03-17 |
| 1982942090 | Carrie Rose Fitzekam | Technician | 712 Tanagers Circle, Longmont, CO 80504 | 2013-01-24 |
| 1003166976 | Jennifer Lynn Mcnerney | Speech-Language Pathologist | 8197 Miller Dr, Frederick, CO 80504 | 2012-09-18 |
| 1821343450 | Allison Luellen | Physician Assistant | 8350 Colorado Blvd, Suite 160, Firestone, CO 80504 | 2012-07-19 |
| 1609132109 | Abby Elizabeth Bohall | Speech-Language Pathologist | 5132 Mt Buchanan Ave, Frederick, CO 80504 | 2012-04-09 |
| Find all providers in zip 80504 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043855950 | Hg Wellness LLC | Chiropractor | 1240 Ken Pratt Blvd # 7-3, Longmont, CO 80501-6300 | 2019-11-14 |
| 1437701349 | Carissa Supry | Chiropractor | 829 Main St Ste 6, Longmont, CO 80501-4954 | 2019-07-10 |
| 1629561683 | Kevin Berg | Chiropractor | 1020 Ken Pratt Blvd Unit D, Longmont, CO 80501-6376 | 2018-06-13 |
| 1427478544 | Cameron Richard Nyman | Chiropractor | 2144 Main St Ste 3, Longmont, CO 80501-8403 | 2014-04-16 |
| 1770824310 | Micheal Allen Walker | Chiropractor | 351 Coffman St, Ste 120, Longmont, CO 80501-5457 | 2013-03-06 |
| 1891048484 | Dennis Orvin Thompson | Chiropractor | 5562 Prospect Rd, Longmont, CO 80503-9046 | 2012-10-19 |
| 1760730378 | Carlson Family Chiropractic, PC | Chiropractor | 900 Coffman St Ste D, Longmont, CO 80501-4588 | 2012-08-29 |
| 1669761458 | Mvp Chiropractic | Chiropractor | 2030 Terry St Ste A, Longmont, CO 80501-1889 | 2011-03-31 |
| 1326341900 | Whitney Reed Carlson | Chiropractor | 438 Terry St, Longmont, CO 80501-5442 | 2010-12-21 |
| 1720390230 | Derek Thomas Fritz | Chiropractor | 1749 Terry St, Longmont, CO 80501-2047 | 2010-07-13 |
| Find all providers in LONGMONT | ||||
Please comment or provide details below to improve the information on REJUV HEALTH MAKEOVERS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.