HEALING WATERS OF WNY LLC (NPI# 1659884047) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659884047 |
| Entity Type | Organization |
| Organization Name | HEALING WATERS OF WNY LLC |
| Other Organization Name | HEALING WATERS |
| Practice Address |
542 Quaker Rd East Aurora NY 14052-2118 |
| Practice Telephone | 7166553924 |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |
| Authorized Official Name | TRAVIS HART (OWNER) |
| Authorized Official Telephone | 7163081974 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Healing Waters | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | HEALING WATERS OF WNY LLC | 542 Quaker Road, East Aurora, New York 14052 |
| Street Address |
542 QUAKER RD |
| City | EAST AURORA |
| State | NY |
| Zip Code | 14052-2118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376875922 | Felicitas Kusch-lango | Health Educator | 542 Quaker Rd, East Aurora, NY 14052-2118 | 2010-02-08 |
| 1124364674 | Stacey Ann Nazitto | Acupuncturist | 542 Quaker Rd, East Aurora, NY 14052-2118 | 2013-01-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457806960 | Hannah Howard | Case Manager/Care Coordinator | 1268 Blakeley Corners Road, East Aurora, NY 14052 | 2016-08-25 |
| 1982046462 | Susan Lynn Bryant | Specialist/Technologist | 12709 Williston Road, East Aurora, NY 14052 | 2013-07-24 |
| 1265785240 | Diana Wittrock | Licensed Practical Nurse | 1080 N Davis Rd, East Aurora, NY 14052 | 2012-10-16 |
| 1437468162 | Gerard Earlwyn Schultz | Family Medicine | 351 Girdle Rd., East Aurora, NY 14052 | 2010-09-29 |
| 1386969541 | Frederick Carl Nuessle | Family Medicine | 38 Elm St., East Aurora, NY 14052 | 2010-03-31 |
| 1730301409 | Alysia Theresa Plewa | Massage Therapist | 90 Hamburg Street, Massage Works, East Aurora, NY 14052 | 2007-05-03 |
| 1982823647 | Hope C Rogers | Massage Therapist | 90 Hamburg St, Massage Works, East Aurora, NY 14052 | 2007-04-24 |
| 1235256413 | Robert R Meisner | Dentist | 250 Quaker Rd, East Aurora, NY 14052 | 2007-03-23 |
| 1578601589 | Michelle M. Myka | Massage Therapist | 552 Linden Street, East Aurora, NY 14052 | 2007-02-02 |
| 1689754525 | Westermeier & Martin Dental Care Pllc | Dentist | 950 East Main Street, East Aurora, NY 14052 | 2006-10-16 |
| Find all providers in zip 14052 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907234 | One United Voice LLC | Clinic/Center | 3075 Heath Ave, Bronx, NY 10463-5843 | 2020-06-22 |
| 1578182770 | Lifetime Changes Behavior Services LLC | Clinic/Center | 20 Cowen Pl Fl 1, Staten Island, NY 10303-2012 | 2020-04-09 |
| 1073149456 | J Montelus Nurse Practitioner In Adult Health PC | Clinic/Center | 1674 Brooklyn Ave, Brooklyn, NY 11210-3427 | 2020-03-18 |
| 1790248086 | Relief Wellness Center | Clinic/Center | 10 Lawrence Ave Ste 2, Smithtown, NY 11787-3622 | 2019-04-12 |
| 1699232355 | Kw Health System, Inc. | Clinic/Center | 53 Salori Court, Temporary Location, Webster, NY 14580 | 2019-02-28 |
| 1972024818 | D.d.w. Drug Testing Services Inc | Clinic/Center | 214 Lenox Ave Ste 12nd, New York, NY 10027-6336 | 2017-06-30 |
| 1023462041 | Evette Kubichko | Clinic/Center | 67 W Taconic Rd, Wappingers Falls, NY 12590-6632 | 2016-04-15 |
| 1801264817 | Nycacts, Inc | Clinic/Center | 145 E 22nd St Apt 2h, New York, NY 10010-5512 | 2015-09-08 |
| 1457736456 | Vital Meridian Acupuncture P.C. | Clinic/Center | 134 Beach 98th St, Apt.1, Rockaway Park, NY 11694-2851 | 2015-07-21 |
| 1548647779 | Oak Orchard Community Health Center, Inc. | Clinic/Center | 7309 Seneca Rd N Ste 112, Hornell, NY 14843-9691 | 2015-04-27 |
| Find all providers with the same taxonomy | ||||
| City | EAST AURORA |
| Zip Code | 14052 |
Please comment or provide details below to improve the information on HEALING WATERS OF WNY LLC.
| 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.