LIFESTYLE HEALTH CARE CENTER (NPI# 1801065107) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801065107 |
| Entity Type | Organization |
| Organization Name | LIFESTYLE HEALTH CARE CENTER |
| Practice Address |
1633 Celina Rd St. Marys OH 45885-1812 |
| Mailing Address |
Po Box 308 St. Marys OH 45885-0308 |
| Practice Telephone | 4193948194 |
| Mailing Telephone | 4193948194 |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |
| Authorized Official Name | SCOTT RANDAL BRUCE (PRESIDENT) |
| Authorized Official Telephone | 4193948194 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 1393 | OH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0868744 | 05 |
| Street Address |
1633 CELINA RD |
| City | ST. MARYS |
| State | OH |
| Zip Code | 45885-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083232417 | Dimensional Wellness LLC | Counselor | 150 1/2 E. High St., Saint Marys, OH 45885 | 2020-07-13 |
| 1124679519 | Wishing Well Clinic & Spa, LLC | Massage Therapist | 153 E, Spring Street, St Marys, OH 45885 | 2019-09-26 |
| 1720633639 | Grand Lake Operations, LLC | Assisted Living Facility | 1035 Hager Street, Saint Marys, OH 45885 | 2019-08-07 |
| 1225436439 | Sharon Schnell | Pharmacist | 200 St. Clair Ave, St. Marys, OH 45885 | 2014-12-22 |
| 1851692669 | Gregory J Walter | Pharmacist | 1052 E. Spring St., St. Marys, OH 45885 | 2010-11-10 |
| 1578708053 | St Marys City Board of Education | Local Education Agency (LEA) | 2250 State Route 66, Saint Marys, OH 45885 | 2008-12-11 |
| 1104098037 | Alliance for Women's Health Inc | Obstetrics & Gynecology | 510 East Spring Street, St Marys, OH 45885 | 2008-04-01 |
| 1598869646 | Pajka Eye Center Inc | Ophthalmology | 200 St Clair, Joint Township District Memorial Hospital, St Marys, OH 45885 | 2006-09-11 |
| 1487664306 | Chalasani Md Inc. | Internal Medicine | 1300 Greenville Rd., St. Marys, OH 45885 | 2006-08-09 |
| 1821007949 | Kenneth Lance Bryant | Surgery | 1300 Greenville Rd Ste B, Saint Marys, OH 45885 | 2006-08-07 |
| Find all providers in zip 45885 | ||||
| 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 |
|---|---|---|---|---|
| 1285937185 | Cailen Emlee Wells | Chiropractor | 775 Kings Bay Rd, St. Marys, GA 31558 | 2010-12-15 |
| 1023282324 | Alternative Healthcare of St Marys, Pa. | Chiropractor | 513 W Bertrand Ave, St. Marys, KS 66536-0236 | 2008-04-17 |
| 1558424796 | Edward J Smith | Chiropractor | 564 Charlie Smith Sr. Hwy., St. Marys, GA 31558 | 2006-12-19 |
| 1487752788 | Kimra S Qualls | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| 1386649457 | Jeffrey S. Chivington | Chiropractor | 575 Royal Oak Drive, St. Marys, OH 45885 | 2005-06-16 |
| 1407954704 | Back To Health Wellness, Inc | Chiropractor | 503 E. Bertrand, St. Marys, KS 66536 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436326 | Nathan Granger | Chiropractor | 1022 W Auglaize St Ste 102, Wapakoneta, OH 45895-1365 | 2020-10-28 |
| 1891302881 | Az Chiro LLC | Chiropractor | 13477 Prospect Rd Ste 101a, Strongsville, OH 44149-3863 | 2020-09-24 |
| 1265044002 | Apollo Family Chiropractic LLC | Chiropractor | 3520 Snouffer Rd Ste 202, Columbus, OH 43235-2794 | 2020-08-22 |
| 1699387977 | Scioto Valley Chiropractic and Rehab Center LLC | Chiropractor | 1716 11th St, Portsmouth, OH 45662-4528 | 2020-08-19 |
| 1508476672 | Precision Active Health | Chiropractor | 27600 Chagrin Blvd Ste 160, Woodmere, OH 44122-4421 | 2020-08-04 |
| 1568089779 | Harry John Dermanelian II | Chiropractor | 3504 Secor Rd Ste 325, Toledo, OH 43606-1545 | 2020-07-03 |
| 1407472004 | Physical Medicine Center of St Elizabeth | Chiropractor | 1 Elizabeth Pl Ste 1100b, Dayton, OH 45417-3445 | 2020-06-19 |
| 1972128817 | Patriot Holdings of Ohio, LLC | Chiropractor | 3860 Hard Rd, Dublin, OH 43016-8025 | 2020-06-16 |
| 1487277166 | Jared Mainous | Chiropractor | 10005 Fremont Pike Ste B, Perrysburg, OH 43551-3388 | 2020-05-28 |
| 1922621499 | Paul A Books | Chiropractor | 7226 S State Route 48, Maineville, OH 45039-9775 | 2020-05-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LIFESTYLE HEALTH CARE CENTER.
| 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.