SHEKINAH HEALTH & WELLNESS CENTER, LLC
NPI 1346719812
Family Medicine in Ormond Beach, FL
About Shekinah Health & Wellness Center, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEKINAH HEALTH & WELLNESS CENTER, LLC (NPI 1346719812) is a healthcare organization registered as a family medicine in Ormond Beach, Florida and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 21, 2027 and lists Moline J Blanc, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Shekinah Health & Wellness Center, 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 Shekinah Health & Wellness Center, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 10D2165124
Shekinah Health & Wellness Center · Ormond Beach, FLFrequently 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 Shekinah Health & Wellness Center, LLC's NPI number?
The NPI number for Shekinah Health & Wellness Center, LLC is 1346719812. It was assigned to this organization in the NPPES registry on November 14, 2018.
Where is Shekinah Health & Wellness Center, LLC located?
Shekinah Health & Wellness Center, LLC is located at 305 Clyde Morris Blvd, Ormond Beach, FL 32174. The listed phone number is (561) 317-8454.
What is Shekinah Health & Wellness Center, LLC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Shekinah Health & Wellness Center, LLC enrolled in Medicare?
Yes. Shekinah Health & Wellness Center, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Shekinah Health & Wellness Center, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Shekinah Health & Wellness Center, 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.
Does Shekinah Health & Wellness Center, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 10D2165124) is associated with this NPI, valid through April 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Shekinah Health & Wellness Center, LLC accept?
Health plans from Ambetter Health and Ambetter of Alabama list Shekinah Health & Wellness Center, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Shekinah Health & Wellness Center, LLC was last updated on November 15, 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.
# Shekinah Health & Wellness Center, Llc · NPI 1346719812
Family Medicine organization in Ormond Beach, Florida. Organization record, active in the CMS NPPES registry since November 14, 2018.
## Identity
- **NPI:** 1346719812 (Entity type: Organization)
- **Enumerated:** November 14, 2018
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Moline Blanc, OWNER
## Practice location
- **Address:** 305 CLYDE MORRIS BLVD, Ormond Beach, FL 32174-8181
- **Phone:** (561) 317-8454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 15, 2018
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1346719812) · Data from the CMS NPPES public registry.