HEALTHY LIVING WELLNESS AND HEALTHCARE (NPI# 1669989901) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669989901 |
Entity Type | Organization |
Organization Name | HEALTHY LIVING WELLNESS AND HEALTHCARE |
Other Organization Name | HEALTHY LIVING WELLNESS AND HEALTHCARE, LLC |
Practice Address |
105 S Franklin Dr Florence SC 29501-4364 |
Practice Telephone | 8436173226 |
Mailing Telephone | 8436173226 |
Enumeration Date | 2018-01-09 |
Last Update Date | 2018-11-19 |
Authorized Official Name | TIERRA NICOLE WIDDER (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 8436173226 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Healthy Living Wellness and Healthcare, LLC | Other Name - Individual/Organization |
Street Address |
105 S FRANKLIN DR |
City | FLORENCE |
State | SC |
Zip Code | 29501-4364 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144279365 | Almeda Myers Graham | Durable Medical Equipment & Medical Supplies | 105 S Franklin Dr, Florence, SC 29501-4364 | 2006-05-06 |
1730487612 | Healthyfamilies2010 | Counselor | 105 S Franklin Dr, Florence, SC 29501-4364 | 2011-03-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700350444 | Angel Edwards Brown | Nurse Practitioner | Mcleod Health, 555 East Cheves Street, Florence, SC 29501 | 2019-01-16 |
1497229124 | Fred L. Evans IIi | Physical Therapy Assistant | 2439 Willwood Dr., Florence, SC 29501 | 2019-01-16 |
1841715596 | Faith Hope Love Homecare | Home Health | 604 S. Coit Street, Florence, SC 29501 | 2017-08-03 |
1083156350 | Karen Artis-bacote | Nurse Practitioner | 3835 Susan Dr, Florence, SC 29501 | 2016-11-17 |
1992251581 | Higher Ground Christian Counseling Service, LLC | Counselor | 1801 D West Evans Street, Florence, SC 29501 | 2016-09-01 |
1952752818 | Jack Carter Shackelford | Chiropractor | 311 West Palmetto Street, Florence, SC 29501 | 2016-06-22 |
1750743506 | Profection Therapy LLC | Clinic/Center | 315d North Beltline Dr., Florence, SC 29501 | 2016-03-22 |
1386002467 | Bergelt Optometric LLC | Optometrist | 2672 David Mcleod Blvd, Florence, SC 29501 | 2016-02-04 |
1437531993 | Sherika Tarshall Stuckey | Nurse Practitioner | 720 Coventry Lane, Apt C, Florence, SC 29501 | 2015-06-22 |
1245610062 | Christopher Tyree | Podiatrist | 709 W Evans St, Florence, SC 29501 | 2015-06-06 |
Find all providers in zip 29501 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669919007 | Hypertension and Diabetes Prevention and Treatment Center Inc | Clinic/Center | 1812 Malden Drive, Hdpt Center Inc, Florence, SC 29505-3128 | 2017-01-24 |
1407202112 | Regional Health and Testing Center | Clinic/Center | 376 W Palmetto St, Florence, SC 29501-4418 | 2016-05-11 |
1992961122 | Inman Family Medicine, LLC | Clinic/Center | 1594 Freedom Boulevard, Suite 103, Florence, SC 29505 | 2008-08-07 |
1205484326 | Thrive Health Urgent Care, Inc. | Clinic/Center | 3500 Cloverdale Rd, Florence, AL 35633-1302 | 2019-09-02 |
1790093441 | Family Care First, Inc. | Clinic/Center | 2530 Florence Blvd Ste D, Florence, AL 35630-2807 | 2010-09-15 |
1639280183 | Alexius M Bishop, Md Psc | Clinic/Center | 45 Cavalier Blvd, Florence, KY 41042-1684 | 2006-08-31 |
1548204803 | Internal Medicine Associates PC | Clinic/Center | 805 Pamplico Hwy, Suite B310, Florence, SC 29505-6047 | 2006-06-16 |
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1700484821 | Grace Physicians Services | Clinic/Center | 1483 Old Cherokee Road, Lexington, SC 29072 | 2020-10-12 |
1750995007 | Trinity Health and Wellness | Clinic/Center | 1483 Old Cherokee Rd, Lexington, SC 29072 | 2020-09-03 |
1841847423 | Healthworks Med Group of South Carolina P C | Clinic/Center | 9051 Palmetto Commerce Pkwy, Ladson, SC 29456-6705 | 2019-08-20 |
1528561453 | Sea Island Medical Care | Clinic/Center | 2114 Highway 41, Suite 105, Mount Pleasant, SC 29466 | 2018-03-16 |
1447758032 | Crs Eyecare Services, Inc. | Clinic/Center | 112 Rutledge Ave Ste A, Charleston, SC 29401-1333 | 2018-01-29 |
1316477060 | Lake City Medical Associates 2017, LLC | Clinic/Center | 130 S Acline St, Lake City, SC 29560-2633 | 2017-06-15 |
1417483355 | New Beginnings Health Services | Clinic/Center | 176 Dermis Ave, Hardeeville, SC 29927-4161 | 2017-05-11 |
1093262511 | Quad/med, LLC | Clinic/Center | 224a Harbor Freight Rd, Dillon, SC 29536-8501 | 2016-09-01 |
1649623653 | Woods Bay Family Care LLC | Clinic/Center | 128 E Baker St, Olanta, SC 29114-9101 | 2016-07-14 |
1588010474 | Threshold Pediatrics, LLC | Clinic/Center | 125 River Landing Dr, Suite 103, Daniel Island, SC 29492-7551 | 2016-05-10 |
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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.