LIFE WELLNESS CENTER
NPI 1578835278
Chiropractor in Lexington, SC

Active since January 27, 2012
4715 SUNSET BLVD STE C, LEXINGTON, SC 29072(803) 520-8631(803) 520-8634 Get Directions Write a Review

NPPES record last updated: January 27, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Life Wellness Center NPPES

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

LIFE WELLNESS CENTER (NPI 1578835278) is a healthcare organization registered as a chiropractor in Lexington, South Carolina and active in the NPI registry since January 2012. The organization lists Thomas Taylor Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1578835278
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameLIFE WELLNESS LLC
Location Address4715 SUNSET BLVD STE CLexington, SC 29072-9151
Mailing Address4715 Sunset Blvd Ste CLexington, SC 29072-9151 · (803) 520-8631 · Fax (803) 520-8634
Fax(803) 520-8634
Organization SubpartNo
Authorized OfficialThomas Taylor BlakeOwner · (803) 520-8631
Enumeration DateJanuary 27, 2012
✔ NPI 1578835278 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in SC · 3261
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
4715 SUNSET BLVD STE C, Lexington, SC 29072

Other Names 1

Doing Business AsLife Wellness Center

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 Wellness Center 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 Wellness Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Chiropractic
NPI 1952493991
4715 SUNSET BLVD STE C
Lexington, SC 29072
(803) 520-8631
✔ Accepts Medicare0.1 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 Wellness LLC's NPI number?

The NPI number for Life Wellness LLC is 1578835278. It was assigned to this organization in the NPPES registry on January 27, 2012. The provider is doing business as Life Wellness Center.

Where is Life Wellness LLC located?

Life Wellness LLC is located at 4715 Sunset Blvd Ste C, Lexington, SC 29072. The listed phone number is (803) 520-8631.

What is Life Wellness LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Life Wellness LLC enrolled in Medicare?

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

How many clinicians bill Medicare through Life Wellness LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Chiropractic) reassigns their Medicare billing to Life Wellness 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 Wellness LLC was last updated on January 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.