THE REJUVENATION CENTER LLC (NPI# 1164765327) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164765327 |
| Entity Type | Organization |
| Organization Name | THE REJUVENATION CENTER LLC |
| Practice Address |
997 E County Line Rd Suite M Greenwood IN 46143-1075 |
| Practice Telephone | 3175771990 |
| Practice Fax Number | 3175771993 |
| Mailing Telephone | 3175771990 |
| Mailing Fax Number | 3175771993 |
| Enumeration Date | 2013-04-05 |
| Last Update Date | 2015-01-20 |
| Authorized Official Name | MATTHEW J BAUER (OWNER) |
| Authorized Official Telephone | 3175771990 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
997 E COUNTY LINE RD SUITE M |
| City | GREENWOOD |
| State | IN |
| Zip Code | 46143-1075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508922691 | Brian Lee Green | Chiropractor | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1052 | 2006-12-31 |
| 1225330244 | Darrell D Hartman | Hearing Instrument Specialist | 997 E County Line Rd, Greenwood, IN 46143-1075 | 2010-11-23 |
| 1063714350 | Accuquest Hearing Center | Clinic/Center | 997 E County Line Rd, Greenwood, IN 46143-1075 | 2010-11-19 |
| 1629201603 | Alicia Frances Oskay | Nutritionist | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1075 | 2009-08-25 |
| 1437393428 | Rebekah C Moore | Massage Therapist | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1075 | 2009-04-22 |
| 1033350970 | Michael Wilson Richardson | Massage Therapist | 997 E County Line Rd, Suite M, Greenwood, IN 46143-1075 | 2009-03-23 |
| 1053570564 | Zachary S Scearce | Dentist | 997 E County Line Rd, Suite L, Greenwood, IN 46143-1075 | 2008-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891395299 | Tiffany Smirat | Pharmacist | 882 S Sr 135, Greenwood, IN 46143 | 2020-10-27 |
| 1083250138 | Benajmin Thomas Nyboer | Pharmacist | 5961 North State Road 135, Kroger Pharmacy, Greenwood, IN 46143 | 2019-11-25 |
| 1609417260 | Orthopaedics-indianapolis, Inc | Orthopaedic Surgery | 1579 Olive Branch Parke Lane, Suite 130, Greenwood, IN 46143 | 2019-10-04 |
| 1194282525 | Homebased Mental Health Service | Case Management | 2244 Blossom Dr, Greenwood, IN 46143 | 2019-02-21 |
| 1710478078 | Anne E Packard | Pharmacist | 333 E County Line Rd # 101, Greenwood, IN 46143 | 2018-05-22 |
| 1033607924 | Ez Clinic Inc. | Nurse Practitioner | 494 S Emerson Ave Ste I, Greenwood, IN 46143 | 2018-04-25 |
| 1891246633 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 5961 N Sr 135, Greenwood, IN 46143 | 2016-10-17 |
| 1477919637 | Ourhealth Physicians Group, LLC | Clinic/Center | 1273 N Emerson Ave Ste H, Greenwood, IN 46143 | 2016-01-04 |
| 1003212655 | American Health Network of Indiana, LLC | Non-Pharmacy Dispensing Site | 2355 Endress Place St A, Healthy Measures Wellness Clinic, Greenwood, IN 46143 | 2014-11-10 |
| 1265831366 | Katie D'agosto | Counselor | 3000 S State Road 135 Ste 230, Greenwood, IN 46143 | 2014-08-14 |
| Find all providers in zip 46143 | ||||
| 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 |
|---|---|---|---|---|
| 1669003992 | Kelsey K Everley | Chiropractor | 622 N Madison Ave Ste 7and8, Greenwood, IN 46142-4082 | 2020-01-27 |
| 1396375242 | Jacob Blake Brumbelow | Chiropractor | 520 N State Road 135 Ste R, Greenwood, IN 46142-1321 | 2020-01-20 |
| 1336643782 | Ascension Family Chiropractic, Inc | Chiropractor | 181 S Madison Ave, Greenwood, IN 46142-3572 | 2018-03-21 |
| 1376896225 | Chad Michael Bigler | Chiropractor | 520 N State Road 135, Greenwood, IN 46142-1324 | 2012-10-16 |
| 1013273366 | Rowe Chiropractic and Acupuncture, Inc. | Chiropractor | 6 Town Square, Greenwood, AR 72936-3200 | 2012-04-11 |
| 1194096339 | Evan Lee Rowe | Chiropractor | 3512 Evans Rd, Greenwood, AR 72936-7904 | 2012-01-19 |
| 1164708202 | Greenwood Family Chiropractic, LLC | Chiropractor | 520 N Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1447536586 | Leanne Nicole Schlueter | Chiropractor | 520 North Sr 135, Suite R, Greenwood, IN 46142 | 2011-11-02 |
| 1053647180 | Kimberly L Jefferson | Chiropractor | 1707 Strong Ave, Suite A, Greenwood, MS 38930-3923 | 2009-10-23 |
| 1225264245 | Devon Tyler Mcgillem | Chiropractor | 450 S State Road 135, Greenwood, IN 46142-1455 | 2009-06-04 |
| Find all providers in GREENWOOD | ||||
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| 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.