NEW AGE WELLNESS – NPI #1861193054
Clinic/Center

NEW AGE WELLNESS is an AHC clinic located in CASSELBERRY, FL. NPPES has assigned the NPI number 1861193054 to NEW AGE WELLNESS on March 14, 2023. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “NEW AGE WELLNESS” is a dba name, the actual legal business name for this organization is STEPHANIE KERN INVESTMENT AND HOLDING COMPANY LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QM1300X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Multi-Specialty

The NPI profile was last updated on Jan 06, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for NEW AGE WELLNESS below.

NPI Profile for
STEPHANIE KERN INVESTMENT AND HOLDING COMPANY LLC

NPI Number
1861193054
Enumeration Date

(more than 3 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
STEPHANIE KERN INVESTMENT AND HOLDING COMPANY LLC
Doing Business As (dba): NEW AGE WELLNESS
Primary location
853 SR 436
SUITE 1029
CASSELBERRY, FL 32707
Phone: (407) 960-3237 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
STEPHANIE KERN
OWNER
Phone: (386) 451-5762
Updated
Certification Date
Jan 06, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1300X
- Clinic/Center / Multi-Specialty (Primary)
363L00000X
- Nurse Practitioner
111N00000X
- Chiropractor

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.