EAT WELL FOR LIFE, LLC (NPI# 1568850337) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568850337 |
| Entity Type | Organization |
| Organization Name | EAT WELL FOR LIFE, LLC |
| Practice Address |
35 Ragged Edge Rd Chambersburg PA 17202-4450 |
| Mailing Address |
138 Roland Ave Chambersburg PA 17201-1444 |
| Practice Telephone | 7173726687 |
| Practice Fax Number | 7174460033 |
| Mailing Telephone | 7173726687 |
| Mailing Fax Number | 7174460033 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | HEIDI LUCAS (OWNER/REGISTERED DIETITIAN) |
| Authorized Official Telephone | 7173726687 |
| Authorized Official Credential | RD, LDN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities | ||
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CERTIFICATE OF ORGANIZATION | T1434218103 | 01 |
| Street Address |
35 RAGGED EDGE RD |
| City | CHAMBERSBURG |
| State | PA |
| Zip Code | 17202-4450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588132716 | Spiritrust Lutheran | Skilled Nursing Facility | 2781 Luther Drive, Chambersburg, PA 17202 | 2018-11-06 |
| 1629528823 | Joy L Goetz | Registered Nurse | 2910 Constellation Dr, Chambersburg, PA 17202 | 2016-10-12 |
| 1043653884 | Heidi Jo Lucas | Dietitian, Registered | 35 Ragged Edge Road, Chambersburg, PA 17202 | 2013-04-11 |
| 1265717169 | Vickie L Johnson | Physical Therapy Assistant | 2085 Wayne Ave, Chambersburg, PA 17202 | 2011-10-12 |
| 1750516993 | Li C Chu | Physical Therapist | 799 Crestwood Drive, Chambersburg, PA 17202 | 2009-05-18 |
| 1831368901 | Fashion Eyewear | Technician/Technologist | 916 Lincoln Way West, Chambersburg, PA 17202 | 2008-02-22 |
| 1205960960 | Rebecca Ann Chepren | Physical Therapist | 3628 Scotland Main St, Chambersburg, PA 17202 | 2007-03-15 |
| 1457351157 | Angela Miller | Occupational Therapist | 142 Franklin Farm Lane, Chambersburg, PA 17202 | 2005-07-26 |
| 1689016024 | Jennifer Lynn Morgan | Occupational Therapist | 142 Franklin Farm Lane, Chambersburg, PA 17202 | 2013-07-26 |
| 1659403145 | Cheryl C. Oyler | Occupational Therapist | 142 Franklin Farm Lane, Chambersburg, PA 17202 | 2007-03-10 |
| Find all providers in zip 17202 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1073864971 | Bucks County Health Improvement Partnership | Clinic/Center | 2546 B Knights Rd, Bensalem, PA 19020 | 2012-10-02 |
| 1083988992 | Brendan Patrick Teehan | Clinic/Center | 377 Wyldhaven Rd, Bryn Mawr, PA 19010-1241 | 2012-02-24 |
| 1487956181 | Sunbury Community Hospital | Clinic/Center | 350 N 11th Street, Sunbury, PA 17801 | 2010-12-01 |
| 1619106382 | Neighborhood Health Centers of The Lehigh Valley | Clinic/Center | 333 W Union St, 4th Floor, Allentown, PA 18102-5401 | 2009-07-02 |
| 1366698607 | Asociacion De Puertorriquenos En Marcha, Inc. | Clinic/Center | 2131-33 N. 6th St, Philadelphia, PA 19122-1415 | 2008-08-18 |
| 1417113804 | Power Chiropractic | Clinic/Center | 113 W End Rd, Hanover Twp, PA 18706-5448 | 2008-08-05 |
| 1205960887 | Bilibottoms, Inc | Clinic/Center | 867 Fishburn Rd, Hershey, PA 17033-2015 | 2007-03-15 |
| 1427112689 | Healthy Solutions, Inc | Clinic/Center | 601 Clifton Ave, Sharon Hill, PA 19079-2303 | 2006-12-21 |
| 1649377003 | Community Council for Mh/mr, Inc. | Clinic/Center | 4900 Wyalusing Ave, Philadelphia, PA 19131-5127 | 2006-09-20 |
| Find all providers with the same taxonomy | ||||
| City | CHAMBERSBURG |
| Zip Code | 17202 |
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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.