ELITE WELLNESS CENTER LLC (NPI# 1578033965) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578033965 |
| Entity Type | Organization |
| Organization Name | ELITE WELLNESS CENTER LLC |
| Other Organization Name | BRUCE WELLNESS CENTER |
| Practice Address |
12 Groce Rd Lyman SC 29365-1631 |
| Practice Telephone | 8644391345 |
| Practice Fax Number | 8644391346 |
| Mailing Telephone | 8644391345 |
| Mailing Fax Number | 8644391346 |
| Enumeration Date | 2018-11-28 |
| Last Update Date | 2020-04-23 |
| Authorized Official Name | DR. KEVIN PRIME (CHIROPRACTOR) |
| Authorized Official Telephone | 7044734653 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Bruce Wellness Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | ELITE WELLNESS CENTER LLC | 7600 E.arapahoe Rd, Suite101, Centennial, CO 80112 |
| Street Address |
12 GROCE RD |
| City | LYMAN |
| State | SC |
| Zip Code | 29365-1631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134202427 | Wellford Chiropractic | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2006-10-23 |
| 1730727009 | Elite Medical Center LLC | Physical Medicine & Rehabilitation | 12 Groce Rd, Lyman, SC 29365-1631 | 2019-12-17 |
| 1770016370 | Jennifer Campa | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2017-04-10 |
| 1407234537 | Bruce Chiropractic Wellness Center | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2015-05-08 |
| 1649689969 | Kevin Prime | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2014-08-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902203813 | Stephanie Walker | Nurse Practitioner | 1295 Old Spartanburg Hwy, Careteam Health, Lyman, SC 29365 | 2014-11-21 |
| 1013356161 | Tyger River Pediatric Dentistry | Dentist | 312 Spartanburg Hwy., Lyman, SC 29365 | 2013-06-21 |
| 1649436791 | Ashlan Village Retirement Community | Assisted Living Facility | 415 Brenda Way, Lyman, SC 29365 | 2008-07-29 |
| 1538379086 | Lyman Dental Associates PC | Dentist | 301 Old Spartanburg Rd., Lyman, SC 29365 | 2007-05-23 |
| 1437297462 | Tina Louise Gaudiano | Counselor | 84 Groce Rd, Lyman, SC 29365 | 2007-02-02 |
| 1255477014 | Cathy Ford Sparks | Counselor | Middle Tyger Community Center, 84 Grace Rd, Lyman, SC 29365 | 2007-01-29 |
| 1194828657 | Kirk E Houston Dmd Pa | Dentist | 12313 Greenville Highway, Lyman, SC 29365 | 2006-09-07 |
| 1245347210 | Grady Stoddard Brooks Jr. | Dentist | 301 Old Spartanburg Road, Lyman, SC 29365 | 2006-08-24 |
| 1750494894 | Brian Kingston Armstrong | Dentist | 350 S Spartanburg Hwy, Lyman, SC 29365 | 2006-08-15 |
| 1164456075 | John Blair Pierce | Physical Therapy Assistant | 104 Gwendolyn Aevnue, Lyman, SC 29365 | 2006-07-10 |
| Find all providers in zip 29365 | ||||
| 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 |
|---|---|---|---|---|
| 1982837886 | Linda Ann Tarpley | Chiropractor | 3232 Highway 357, Lyman, SC 29365-9780 | 2009-08-26 |
| 1760668362 | Jason R. Haycock | Chiropractor | 225 W Owen St., Lyman, WY 82937 | 2008-01-14 |
| 1134202427 | Wellford Chiropractic | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2006-10-23 |
| 1902845530 | Janet Michelle Benham | Chiropractor | 29 Village Cir, Lyman, ME 04002-7374 | 2006-06-06 |
| 1700855988 | Nichole Parris Brown | Chiropractor | 12301 Greenville Hwy, Lyman, SC 29365-1515 | 2006-03-17 |
| 1770016370 | Jennifer Campa | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2017-04-10 |
| 1629434519 | Gregory Brown Dc, PC | Chiropractor | 12301 Greenville Hwy, Lyman, SC 29365-1515 | 2016-01-07 |
| 1457724494 | Gregory Kent Brown Jr. | Chiropractor | 12301 Greenville Hwy, Lyman, SC 29365-1515 | 2015-11-12 |
| 1407234537 | Bruce Chiropractic Wellness Center | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2015-05-08 |
| 1649689969 | Kevin Prime | Chiropractor | 12 Groce Rd, Lyman, SC 29365-1631 | 2014-08-12 |
| Find all providers in LYMAN | ||||
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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.