Well Life LLC (NPI# 1356054860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1356054860 |
| Entity Type | Organization |
| Organization Name | WELL LIFE LLC |
| Practice Address |
1700 W Whitton Ave Phoenix AZ 85015-5533 |
| Practice Telephone | 6023184383 |
| Mailing Address |
1700 W Whitton Ave Phoenix AZ 85015-5533 |
| Mailing Telephone | 6023184383 |
| Authorized Official Name | Anthony Populo (FOUNDER) |
| Authorized Official Telephone | 6023184383 |
| Organization Subpart | No, this organization is not a Subpart |
| Enumeration Date | 2022-12-29 |
| Last Update Date | 2022-12-29 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 261QP2300X | Clinic/Center · Primary Care | Ambulatory Health Care Facilities |
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| 1932704830 | Ageless Nutrition Bar Holdings, Inc | 4802 E Ray Rd # 9, Phoenix, AZ 85044-6405 | 2020-12-01 | |
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| Street Address |
1700 W WHITTON AVE |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85015-5533 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739081 | Anthony Populo | 1700 W Whitton Ave, Phoenix, AZ 85015-5533 | 2020-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588377535 | Open Doors Health Services | 5060 N 19th Ave Ste 412, Phoenix, AZ 85015-3214 | 2023-01-04 | |
| 1326751488 | Bth Mental Wellness Center LLC | 2920 N 24th Ave Ste 100, Phoenix, AZ 85015-5958 | 2023-01-03 | |
| 1750094108 | Serenity Wellness Group | 5060 N 19th Ave Ste 406-9, Phoenix, AZ 85015-3210 | 2022-12-30 | |
| 1932811171 | Noah's Hope Wellness Center | 2920 N 24th Ave Ste 260, Phoenix, AZ 85015-5961 | 2022-12-20 | |
| 1831801232 | Great Tower Recovery, LLC | 5501 N 19th Ave Ste 331, Phoenix, AZ 85015-2455 | 2022-12-16 | |
| 1700598489 | Light Center Behavioral Health LLC | 6619 N 19th Ave # C1, Phoenix, AZ 85015-1631 | 2022-12-14 | |
| 1730891375 | Fard Health Services LLC | 1990 W Camelback Rd, Phoenix, AZ 85015-3462 | 2022-12-14 | |
| 1386356947 | Heart To Heart Christian Counseling LLC | 4560 N 19th Ave, Phoenix, AZ 85015-4133 | 2022-12-14 | |
| 1760193742 | Nazarene Restoration House | 2450 W Glenrosa Ave Unit 24, Phoenix, AZ 85015-4989 | 2022-12-09 | |
| 1801506449 | Roger Cunningham | 5060 N 19th Ave Ste 300-27, Phoenix, AZ 85015-3210 | 2022-12-05 | |
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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.