INFINITE REJUVENATION LLC (NPI# 1598024580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1598024580 |
Entity Type | Organization |
Organization Name | INFINITE REJUVENATION LLC |
Other Organization Name | INFINITE WELLNESS |
Practice Address |
1698 Highway 160 W Suite 200 Fort Mill SC 29708-8032 |
Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
Practice Telephone | 8035474343 |
Mailing Telephone | 3104749809 |
Enumeration Date | 2012-05-10 |
Last Update Date | 2012-08-23 |
Authorized Official Name | DR. DANA P. GIARRIZZI (OWNER) |
Authorized Official Telephone | 8035474343 |
Authorized Official Credential | DO |
Is Organization Subpart | Y |
Parent Organization Name | INFINITE REJUVENATION LLC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
Other Name | Type Code |
---|---|
Infinite Wellness | Doing Business As Name - Organization |
Street Address |
1698 HIGHWAY 160 W SUITE 200 |
City | FORT MILL |
State | SC |
Zip Code | 29708-8032 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972536878 | Susan Jo Start | Pediatrics | 1698 Highway 160 W, Suite 220, Fort Mill, SC 29708-8032 | 2006-07-07 |
1356702799 | Courtney Guerrieri | Occupational Therapist | 1698 Highway 160 W, #200, Fort Mill, SC 29708-8032 | 2016-03-13 |
1568858900 | Swalley Chiropractic LLC | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2015-04-13 |
1750788675 | Charlotte Eye Ear Nose & Throat Associates, Pa | Otolaryngology | 1698 Highway 160 W, Suite 240, Fort Mill, SC 29708-8032 | 2014-11-20 |
1285055657 | Emma Cecilia Jusseaume | Physician Assistant | 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708-8032 | 2014-01-02 |
1912346081 | Lataya Redfern | Chiropractor | 1698 Highway 160 W, Suite 210, Fort Mill, SC 29708-8032 | 2013-06-21 |
1679918221 | Nicole Clamp | Nurse Practitioner | 1698 Highway 160 W, Suite 210, Fort Mill, SC 29708-8032 | 2013-05-08 |
1811330681 | Micah Wade Swalley | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2013-04-11 |
1124395397 | Gonstead Chiropractic, Pa | Chiropractor | 1698 Highway 160 W, Suite 140, Fort Mill, SC 29708-8032 | 2011-11-16 |
1720362460 | Hermann Ritchie | Chiropractor | 1698 Highway 160 W, Suite 200, Fort Mill, SC 29708-8032 | 2011-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265089098 | Jennifer Priory O'keefe | Nurse Practitioner | 117 Stone Village Dr., Fort Mill, SC 29708 | 2019-08-26 |
1144790577 | Mary Kathleen Gerber | Speech-Language Pathologist | 1874 Second Baxter Crossing, Fort Mill, SC 29708 | 2018-11-28 |
1275016263 | R.e. Offutt, Dds, Ms and B.l. Cockerham Dds, Msp, Pllc | Dentist | 929 Market St, Fort Mill, SC 29708 | 2018-09-14 |
1861985384 | Hf Care Services LLC | Counselor | 150 B.w. Thomas Dr., 108, Fort Mills, SC 29708 | 2018-06-09 |
1134619802 | Myeyedr Optometry of South Carolina, LLC | Optometrist | 1826 Highway 160 W Ste 101, Fort Mill, SC 29708 | 2018-05-17 |
1255832549 | Lakeshore Dental Inc. | Dentist | 1200 Gold Hill Road, Fort Mill, SC 29708 | 2018-02-22 |
1407362338 | Smith Physical Therapy and Wellness | Physical Therapist | 2435 Highway 160 West, Suite 108, Tega Cay, SC 29708 | 2017-12-14 |
1841704244 | Modern Concepts, LLC | General Practice | 1808 Second Baxter Xing Ste 108, Fort Mill, SC 29708 | 2017-11-21 |
1942729355 | Alexis Rose Muttillo | Specialist/Technologist | 1054 Cameron Creek Pkwy, Tega Cay, SC 29708 | 2017-09-18 |
1407308208 | Brenda Terry | Acupuncturist | 1171 Market Street, Ste # 112, Fort Mill, SC 29708 | 2016-10-27 |
Find all providers in zip 29708 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417367640 | Carolinas Physicians Network, Inc. | Non-Pharmacy Dispensing Site | 1091a 521 Red Ventures Drive, Fort Mill, SC 29707 | 2014-04-28 |
1427317411 | Carolina Interventional Pain Associates, Pa | Non-Pharmacy Dispensing Site | 111 Clebourne St, Suite 130, Fort Mill, SC 29715-1758 | 2012-05-10 |
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1497243588 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 2205 2nd Avenue, Summerville, SC 29486 | 2018-04-25 |
1962906313 | Charleston Oncology, Pa | Non-Pharmacy Dispensing Site | 3510 Highway 17 Byp N Ste 300, Mount Pleasant, SC 29466-8230 | 2018-03-21 |
1811383094 | Charleston Ent Associates, LLC | Non-Pharmacy Dispensing Site | 9185 University Blvd, North Charleston, SC 29406-9120 | 2015-04-14 |
1487051439 | Charleston Ent Associates LLC | Non-Pharmacy Dispensing Site | 298 Midland Pkwy, Summerville, SC 29485-8101 | 2014-11-19 |
1346581162 | Wellness First, LLC | Non-Pharmacy Dispensing Site | 2133 N Hillside Dr, Charleston, SC 29407-8102 | 2013-03-04 |
1730440769 | Cigna Onsite Health LLC | Non-Pharmacy Dispensing Site | 2094 Marlboro Rd, Bennettsville, SC 29512 | 2012-06-06 |
1679849806 | Florence Podiatry Associates, LLC | Non-Pharmacy Dispensing Site | 492 W Cheves St, Florence, SC 29501-4447 | 2012-04-02 |
1629693668 | Anesthesia Associates of Charleston, P.a. | Non-Pharmacy Dispensing Site | 1341 Old Georgetown Rd, Mt Pleasant, SC 29464-7307 | 2020-06-16 |
1942841911 | Compounding Center At The Tides | Non-Pharmacy Dispensing Site | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2019-10-01 |
1063929263 | Cpc Rinehart Dispensary | Non-Pharmacy Dispensing Site | 131 Rinehart Way, Aiken, SC 29803-1703 | 2018-01-09 |
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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.