REGENERATIVE HEALTH 360 LLC


Address: 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265
Phone: 8642032300

REGENERATIVE HEALTH 360 LLC (NPI# 1649802497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649802497
Entity Type Organization
Organization Name REGENERATIVE HEALTH 360 LLC
Practice Address 429 Roper Mountain Rd Ste 150
Greenville
SC 29615-4265
Mailing Address 105 Halton Village Cir Ste 105
Greenville
SC 29607-6833
Practice Telephone 8642032300
Mailing Telephone 8646275020
Enumeration Date 2020-02-10
Last Update Date 2020-02-10
Authorized Official Name CHRIS HOOFNAGLE (EXECUTIVE DIRECTOR OF ADMISSIONS)
Authorized Official Telephone 8037224321
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
REGENERATIVE HEALTH 360 Doing Business As Name - Organization

Office Location

Street Address 429 ROPER MOUNTAIN RD STE 150
City GREENVILLE
State SC
Zip Code 29615-4265

Providers in the same location

NPI Name Taxonomy Address Enumeration
1659986750 Lauren Silver Nurse Practitioner 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 2020-09-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194358051 Adenike Orogade Behavior Technician 17 Caldedon Ct, Suite B, Greenville, SC 29615 2020-02-19
1629608369 Jennifer Jacobsen Behavior Technician 17 Caldedon Court, Suite B, Greenville, SC 29615 2020-01-22
1932668217 Carolina Orthopaedic and Neurosurgical Associates Orthopaedic Surgery Carolina Orthopaedic and Neurosurgical Associates, 220 Roper Mountain Road Extension, Greenville, SC 29615 2019-03-18
1255816070 Trevis L Cureton Pharmacist 2401 East North St, Greenville, SC 29615 2018-09-27
1497232565 Jacob J Fountain Nurse Practitioner 225 Enterprise Blvd, Suite 101, Greenville, SC 29615 2018-07-23
1346726924 St. Francis Physician Services, Inc Internal Medicine 5 Hoke Smith Blvd, Greenville, SC 29615 2018-07-17
1558853101 Alexandra Michelle Taylor Audiologist 200 Patewood Dr Ste 400, Greenville, SC 29615 2018-05-30
1316466543 Mariah Hope Mosher Behavioral Analyst 7 Mckenna Commons Court, Greenvilee, SC 29615 2017-09-19
1326400896 Karen L Heaps Counselor 3150 S. Hwy 14, The Pelham Center, Greenville, SC 29615 2016-03-24
1134589013 Sharon Erk Technician, Other 2950 E.norths St, Greenville, OH 29615 2016-03-04
Find all providers in zip 29615

Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134688989 Jean Barker Md Inc Clinic/Center 1659 E Union St, Greenville, MS 38703-3267 2019-03-19
1063909539 Np Healthcare Clinic Clinic/Center 559a Highway 1 N, Greenville, MS 38701-3136 2018-04-19
1033638531 Healthworks Med Group of South Carolina P C Clinic/Center 244 Terminal Rd Bldg 1045, Greenville, SC 29605-5508 2017-09-15
1659816932 Proactive Md Sc,p.a. Clinic/Center 223 Adley Way, Greenville, SC 29607-6511 2016-12-22
1619336344 John R Rowell Md21640 Clinic/Center 309 Belmont Ave, Greenville, SC 29601-4303 2016-02-23
1194192468 Hammond Assessment Services, P.a. Clinic/Center 355 Woodruff Rd Ste 101, Greenville, SC 29607-3419 2015-08-21
1619394335 Passport Health Holdings, LLC Clinic/Center 37 Villa Rd Ste 301, Greenville, SC 29615-3038 2014-03-19
1295157139 Healthworks Med Group of South Carolina P C Clinic/Center 300 Garlington Rd, Greenville, SC 29615-4614 2014-01-13
1265779649 Kristy D. Fox Clinic/Center 824 Mercer Rd, Greenville, PA 16125-8416 2013-01-06
1588972426 Healthworks Med Group of South Carolina P C Clinic/Center 10 Parkway South, Greenville, SC 29615 2010-09-14
Find all providers in GREENVILLE

Competitor

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City GREENVILLE
Zip Code 29615

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Dataset Information

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.

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