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OPTIMISTIC WELLNESS LLC
5119 NW KENDALL CT
TOPEKA, KS66618-1269
 Phone: 785-817-1893
 Fax: 785-587-0009
 Website:
Indicates primary specialty

NPI Profile & details for OPTIMISTIC WELLNESS LLC

NPI # 1043083413
LBN Legal business name OPTIMISTIC WELLNESS LLC
Authorized official SHELDON HAYNES - (CONSULTANT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/06/2023
Last updated 12/12/2024 - More than a year ago
Identifiers
KS Medicaid BH5617545
KS Medicaid KS04-64104
KS Other BH5617545 DEA
KS Other KS-ASCX12N OLD LICENCE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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