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LIFE ENHANCING WELLNESS CENTERS, LLC
NPI 1043759863
Chiropractor - Nutrition in Ruckersville, VA

Active since February 13, 2017
8881 SEMINOLE TRL, RUCKERSVILLE, VA 22968(434) 481-2012 Get Directions Write a Review

NPPES record last updated: November 14, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 14, 2018, Feb 13, 2017 (2 updates tracked since 2017).

About Life Enhancing Wellness Centers, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFE ENHANCING WELLNESS CENTERS, LLC (NPI 1043759863) is a healthcare organization registered as a nutrition in Ruckersville, Virginia and active in the NPI registry since February 2017. The organization lists Demetrios A Kydonieus, Owner, as its authorized official.

NPPES Registry Identity

NPI1043759863
Entity TypeOrganization
Primary Taxonomy111NN1001X
Legal Business NameLIFE ENHANCING WELLNESS CENTERS, LLC
Location Address8881 SEMINOLE TRLRuckersville, VA 22968-3448
Mailing Address8881 Seminole TrlRuckersville, VA 22968-3448 · (434) 481-2012
Phone(434) 481-2012
Organization SubpartNo
Authorized OfficialDemetrios A KydonieusOwner · (434) 481-2012
Enumeration DateFebruary 13, 2017
Last NPPES UpdateNovember 14, 20182 updates tracked since enumeration
✔ NPI 1043759863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractor · NutritionChiropractic Providers
Taxonomy Code111NN1001X
License✔ Licensed in VA · 0104556817
Definition
Chiropractic Nutrition is that specialty within the chiropractic profession that deals with the overall factors that affect the patient's ability to maintain the manipulative correction and thus sustain better neurological integrity. The Chiropractic Nutrition Specialist will perform extensive research on the patient's previous health history, ethnicity, and any family history related to what the patient is being treated for. Patients fill out questionnaires concerning dietary and sleep patterns and previous or present symptomology. A nutrition examination would be performed to assess areas such as absorption rates, adrenal function, kidney health, lung health etc. The patient is often instructed on how to check the pH of their saliva and urine, test for the presence of Candida Albicans, etc., at home. Outside laboratory testing includes blood, urine, hair analysis, food allergy testing etc. The patient's prescription and over the counter medications are recorded and analyzed.
8881 SEMINOLE TRL, Ruckersville, VA 22968
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Life Enhancing Wellness Centers, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Life Enhancing Wellness Centers, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Demetrios Kydonieus, DC
Chiropractic
NPI 1316009301
435 BUCKHORN DR
Belvidere, NJ 07823
(908) 763-1178
✔ Accepts Medicare251 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Life Enhancing Wellness Centers, LLC's NPI number?

The NPI number for Life Enhancing Wellness Centers, LLC is 1043759863. It was assigned to this organization in the NPPES registry on February 13, 2017.

Where is Life Enhancing Wellness Centers, LLC located?

Life Enhancing Wellness Centers, LLC is located at 8881 Seminole Trl, Ruckersville, VA 22968. The listed phone number is (434) 481-2012.

What is Life Enhancing Wellness Centers, LLC's specialty?

The primary specialty registered for this NPI is Chiropractor, specializing in Nutrition, with taxonomy code 111NN1001X.

Is Life Enhancing Wellness Centers, LLC enrolled in Medicare?

Yes. Life Enhancing Wellness Centers, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Enhancing Wellness Centers, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Enhancing Wellness Centers, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Life Enhancing Wellness Centers, LLC was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.