OM CRAFT LLC. (NPI# 1679908990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1679908990 |
Entity Type | Organization |
Organization Name | OM CRAFT LLC. |
Other Organization Name | REVOLUTION YOGA |
Practice Address |
7 North Village Ave Rockville Centre NY 11570-4707 |
Mailing Address |
7 N Village Ave Rockville Centre NY 11570-4707 |
Practice Telephone | 5166196421 |
Enumeration Date | 2013-09-05 |
Last Update Date | 2013-09-05 |
Authorized Official Name | MS. AMANDA DIGIOVANNA (PRESIDENT, MANAGER, HEAD INSTRUCTOR) |
Authorized Official Telephone | 5166196421 |
Authorized Official Credential | E-RYT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Revolution Yoga | Doing Business As Name - Organization |
Street Address |
7 NORTH VILLAGE AVE |
City | ROCKVILLE CENTRE |
State | NY |
Zip Code | 11570-4707 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
Find all providers in zip 11570 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
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Find all providers with the same taxonomy |
City | ROCKVILLE CENTRE |
Zip Code | 11570 |
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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.