LIFE CLINIC OF VA PC (NPI# 1679037972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679037972 |
| Entity Type | Organization |
| Organization Name | LIFE CLINIC OF VA PC |
| Practice Address |
7801 Limestone Dr Gainesville VA 20155-4050 |
| Mailing Address |
Po Box 549 Chanhassen MN 55317-0549 |
| Practice Telephone | 9522297464 |
| Mailing Telephone | 9522297464 |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2019-02-01 |
| Authorized Official Name | REZA ALIZADEH (OWNER) |
| Authorized Official Telephone | 9522297464 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
7801 LIMESTONE DR |
| City | GAINESVILLE |
| State | VA |
| Zip Code | 20155-4050 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932689387 | Debbie Ruth Romero | Massage Therapist | Gainesville Holistic Health Center, 8006 Crescent Park Drive, Gainesville, VA 20155 | 2018-08-15 |
| 1821587114 | Anh T. Pham, Dds, General Dentistry, PC | Dentist | 7544 Gardner Park Dr., Gainesville, VA 20155 | 2018-05-02 |
| 1982118618 | Renew Counseling and Services | Social Worker | 14540 John Marshall Highway, Gainesville, VA 20155 | 2017-11-16 |
| 1952831745 | Lauren Gutta Matini | Dentist | 13801 Heathcote Blvd, 100, Gainesville, VA 20155 | 2017-06-14 |
| 1023546611 | Dentists of Gainesville, PC | Dentist | 8140 Stonewall Shops Square, Gainesville, VA 20155 | 2017-05-26 |
| 1538600036 | Prince William H&r Ops Limited Partnership | Skilled Nursing Facility | 14935 Holly Knoll Lane, Gainesville, VA 20155 | 2017-03-16 |
| 1396191870 | Isg Transport, LLC | Non-emergency Medical Transport (VAN) | 7653 Framingham Ct., Gainesville, VA 20155 | 2016-05-13 |
| 1831518356 | Alvorada Dentistry | Dentist | 13922 Estate Manor Drive, Gainesville, VA 20155 | 2014-04-11 |
| 1215352547 | Pamco Care LLC | Community/Behavioral Health | 7316 Respite Court, Gainesville, VA 20155 | 2014-02-24 |
| 1598109787 | Nader Nagy Hanna | Pharmacist | 14334 Broadwinged Dr, Gainesville, VA 20155 | 2013-04-18 |
| Find all providers in zip 20155 | ||||
| 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 |
|---|---|---|---|---|
| 1588288260 | Gnv Chiro Pllc | Chiropractor | 5745 Sw 75th St Num 275, Gainesville, FL 32608-5504 | 2020-05-29 |
| 1023662541 | Awaken Chiropractic Pllc | Chiropractor | 5200 Nw 43rd St Ste 507, Gainesville, FL 32606-4524 | 2019-08-01 |
| 1508325689 | Gainesville Accident & Injury Center | Chiropractor | 4114 Nw 13th St, Gainesville, FL 32609-1807 | 2019-03-18 |
| 1639647621 | Saeed Amiri | Chiropractor | 14535 John Marshall Hwy Ste 102, Gainesville, VA 20155-4024 | 2018-11-07 |
| 1891281101 | Performance Care Corporation | Chiropractor | 7343 Atlas Walk Way, Gainesville, VA 20155-2992 | 2018-07-10 |
| 1629566328 | Hayden C Chance | Chiropractor | 1240 Nw 11th Ave Ste A, Gainesville, FL 32601-3097 | 2018-04-27 |
| 1578068359 | Soammy Liz Matias | Chiropractor | 961 Green Street, Gainesville, GA 30501 | 2018-03-26 |
| 1922515337 | Clinton M Minter Dc, Pllc | Chiropractor | 427 N Grand Ave, Gainesville, TX 76240-4323 | 2018-01-08 |
| 1407374150 | Fehmel Family Chiropractic LLC | Chiropractor | 635 Green St Nw, Gainesville, GA 30501-3319 | 2017-09-01 |
| 1588196091 | Niklas Faust | Chiropractor | 3832 W Newberry Rd Ste 2c, Gainesville, FL 32607-4830 | 2017-04-03 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 20155 |
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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.