INTENTIONAL LONGEVITY INC (NPI# 1679923668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679923668 |
| Entity Type | Organization |
| Organization Name | INTENTIONAL LONGEVITY INC |
| Other Organization Name | CENTER FOR SPIRITUAL EMERGENCE & KATHAROS SANCTUARY |
| Practice Address |
370 N Louisiana Ave Suite D3 & D4 Asheville NC 28806-3600 |
| Mailing Address |
370 North Louisana Avenue Suite D3 & D4 Asheville NC 28806 |
| Practice Telephone | 8284123688 |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2016-07-25 |
| Authorized Official Name | BRACK JEFFERYS (OWNER) |
| Authorized Official Telephone | 8284123688 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Center for Spiritual Emergence & Katharos Sanctuary | Doing Business As Name - Organization |
| Street Address |
370 N LOUISIANA AVE SUITE D3 & D4 |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28806-3600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376685313 | Universal Mhddsas | Case Management | 370 N Louisiana Ave, Suite A-2, Asheville, NC 28806-3657 | 2007-02-13 |
| 1093174088 | Intentional Longevity, Inc. | Clinic/Center | 370 N Louisiana Ave, Suite D3, Asheville, NC 28806-3600 | 2016-02-18 |
| 1316379068 | Rachel Linsey Carpenter | Counselor | 370 N Louisiana Ave, Suite A-2, Asheville, NC 28806-3600 | 2013-08-05 |
| 1295011716 | Erin Ann Cox | Social Worker | 370 N Louisiana Ave, Suite A-2, Asheville, NC 28806-3600 | 2011-10-28 |
| 1508165143 | Anna Blehar | Social Worker | 370 N Louisiana Ave, Suite A-2, Asheville, NC 28806-3600 | 2011-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003442989 | Kristen Duchac | Registered Nurse | 711 New Leicester Highway, Appalachian Mountain Community Health Center, Leicester, NC 28806 | 2020-03-23 |
| 1457905994 | Sarah Davidson | Social Worker | 1316 D Patton Ave, Asheville, NC 28806 | 2019-08-01 |
| 1578128880 | Ingles Markets Inc | Pharmacy | 151 Smokey Park Hwy, Asheville, NC 28806 | 2019-05-02 |
| 1215403191 | Heather Lynne Parente | Counselor | 110 Ridgefield Blvd., Suite 190, Asheville, NC 28806 | 2018-10-18 |
| 1790250629 | Kathy Arlene Whiteside | Social Worker | Family Preservation Services, 1316 D Patton Ave, Asheville, NC 28806 | 2018-10-08 |
| 1467947036 | Gabrielle Lahowitch | Social Worker | 44 Robinwood Ave, Asheville, NC 28806 | 2018-06-26 |
| 1205326204 | Elizabeth R Guest | Counselor | 1316d Patton Ave, Asheville, NC 28806 | 2018-05-15 |
| 1285159905 | Austin John Hille | Physical Medicine & Rehabilitation | 400 Landis Ct. #203, Asheville, NC 28806 | 2017-08-03 |
| 1063941458 | Callan White Dds, Pllc | Dentist | 655 Brevard Road, Asheville, NC 28806 | 2017-06-08 |
| 1134668098 | Ellen Minier | Nurse Practitioner | 23 Westmont Drive, Asheville, NC 28806 | 2017-02-13 |
| Find all providers in zip 28806 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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|---|---|---|---|---|
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| 1770070625 | Mission Hospital Inc. | Clinic/Center | 275 Mcdowell St, Asheville, NC 28803-2606 | 2018-04-17 |
| 1952756876 | The Road, Inc | Clinic/Center | 530 Merrimon Ave, Asheville, NC 28804-3766 | 2016-04-28 |
| 1306891692 | Children's Therapy Center of Asheville | Clinic/Center | 31 Clayton St, Asheville, NC 28801-2423 | 2006-05-24 |
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| 1508424029 | Shelly Renea Obasoluyi | Clinic/Center | 403 Atwell Dr, Fayetteville, NC 28314-0122 | 2019-05-30 |
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| 1003472804 | Loginclinics, Pllc | Clinic/Center | 1324 Reservoir View Ln, Wake Forest, NC 27587-1836 | 2019-05-16 |
| 1124586060 | Bethany Christian Services of Nc | Clinic/Center | 1110 Navaho Dr Ste 109, Raleigh, NC 27609-7352 | 2019-03-11 |
| 1548740038 | Hillsborough Community Urgent Care | Clinic/Center | 110 Boone Square St Ste 29a, Hillsborough, NC 27278-2665 | 2018-08-15 |
| 1679079537 | Carter Clinic, Pa | Clinic/Center | 260 1st Ave Nw Ste 215, Hickory, NC 28601-6161 | 2018-03-31 |
| Find all providers with the same taxonomy | ||||
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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.