LEHIGH HOLISTIC CENTER (NPI# 1164754420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164754420 |
| Entity Type | Organization |
| Organization Name | LEHIGH HOLISTIC CENTER |
| Practice Address |
228 Plaza Dr Unit C Lehigh Acres FL 33936-6054 |
| Practice Telephone | 2393690000 |
| Practice Fax Number | 2393691420 |
| Mailing Telephone | 2393690000 |
| Mailing Fax Number | 2393691420 |
| Enumeration Date | 2010-02-10 |
| Last Update Date | 2010-02-10 |
| Authorized Official Name | DR. NEIL ERIK BONOFF (OWNER) |
| Authorized Official Telephone | 2393690000 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305S00000X | Point of Service | MM24165 | FL | Managed Care Organizations |
| Street Address |
228 PLAZA DR UNIT C |
| City | LEHIGH ACRES |
| State | FL |
| Zip Code | 33936-6054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760442057 | Randolph S Geslani | Psychiatry & Neurology | 228 Plaza Dr, Suite E, Lehigh Acres, FL 33936-6054 | 2006-03-23 |
| 1912449695 | Max Belot | Nurse Practitioner | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2016-11-10 |
| 1649673419 | Carla P Leslie | Counselor | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2014-10-07 |
| 1942486774 | Madhava T Pally Md Pa | Internal Medicine | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2008-01-10 |
| 1821005422 | Madhava T Pally | Specialist | 228 Plaza Dr, Lehigh Acres, FL 33936-6054 | 2006-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497241939 | Happy Learning, LLC | Clinic/Center | 1400 Kimdale St E Ste 2, Lehigh Acres, FL 33936 | 2018-07-09 |
| 1184112906 | Fenix Behavior Therapy Co. | Behavioral Analyst | 15 Roosevelt Ave, Lehigh Acres, FL 33936 | 2018-04-26 |
| 1548781586 | Cossette Maiquez | Nurse Practitioner | 448 Morgan Circle South, Lehigh Acres, FL 33936 | 2017-06-29 |
| 1124567714 | Sweet Home Adult Day Care, LLC. | Clinic/Center | 201 Plaza Drive Suite #102, Lehigh Acres, FL 33936 | 2017-02-16 |
| 1306106612 | Darry Dean Griebel | Veterinarian | 21 S. Homestead Rd, Lehigh Acres, FL 33936 | 2012-05-21 |
| 1538469838 | V-20 Medical Services Inc | General Practice | 1420-1422 Lee Blvd, Lehigh Acres, FL 33936 | 2010-11-02 |
| 1093808552 | Abdel R Aryan | Pharmacist | 57 Homestead Rd No., Lehigh Acres, FL 33936 | 2006-10-02 |
| 1265534663 | Steve G Hunter | Pharmacist | 415 Homestead Rd, Lehigh Acres, FL 33936 | 2006-09-05 |
| 1699702035 | Florence Faye Doman | Internal Medicine | Lehigh Regional Medical Center, 1500 Lee Blvd., Lehigh Acres, FL 33936 | 2006-06-28 |
| 1396732970 | Joseph Francis Avey | Family Medicine | 260 Beth Stacey Blvd, Suite 130, Lehigh Acres, FL 33936 | 2005-09-29 |
| Find all providers in zip 33936 | ||||
| Taxonomy Code | 305S00000X |
| Grouping | Managed Care Organizations |
| Classification | Point of Service |
| This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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| Find all providers with the same taxonomy | ||||
| City | LEHIGH ACRES |
| Zip Code | 33936 |
Please comment or provide details below to improve the information on LEHIGH HOLISTIC CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.