HOLISTIC HEALTHCARE LLC (NPI# 1417334137) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417334137 |
| Entity Type | Organization |
| Organization Name | HOLISTIC HEALTHCARE LLC |
| Practice Address |
4630 Robbins Grove Dr Florissant MO 63034-2840 |
| Practice Telephone | 3149185736 |
| Mailing Telephone | 3149185736 |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |
| Authorized Official Name | CHANTAY MONIQUE KING (DIRECTOR) |
| Authorized Official Telephone | 3144585451 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | 2000150468 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | RN | 2000150468 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154759603 | Holistic Healthcare LLC | Pharmacy | 3361 W Greenway Rd, Ste.2, Phoenix, AZ 85053-7641 | 2013-10-18 |
| 1528593274 | Holistic Healthcare LLC | Specialist | 1036 Mount Vernon Ave, Marion, OH 43302-5537 | 2017-05-01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Massachusetts Corporations | HOLISTIC HEALTHCARE LLC | 65 Eutaw Ave, Apt 3, Lynn, MA 01902 |
| New York State Corporations | HOLISTIC HEALTHCARE LLC | 514 Brinley Avenue, Bradley Beach, Nj 07720 |
| Connecticut Business Registrations | HOLISTIC HEALTHCARE LLC | 906 Torringford East St., Torrington, CT 06790 |
| Street Address |
4630 ROBBINS GROVE DR |
| City | FLORISSANT |
| State | MO |
| Zip Code | 63034-2840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629435870 | Chantaya Monique King | Registered Nurse | 4630 Robbins Grove Dr, Florissant, MO 63034-2840 | 2016-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518588052 | Sharon Denise Cox | Licensed Practical Nurse | 4045 Ashbury Crossings Dr, Florissant, MO 63034 | 2020-05-06 |
| 1063061778 | Abundant Life Senior Care LLC | Registered Nurse | 15606 Brunswick Manor, Florissant, MO 63034 | 2019-09-05 |
| 1821583600 | Icu Cds | Home Health | 4069 Ashbury Crossing Dr, Florissant, MO 63034 | 2018-06-25 |
| 1700377280 | Taylormade Healthcare Services, LLC | Home Health | 39 Jost Manor Ct, Florissant, MO 63034 | 2018-05-21 |
| 1841797503 | Sherrel Nichole Townsend | Home Health Aide | 39 Jost Manor Ct., Florissant, MO 63034 | 2018-04-10 |
| 1902315757 | Active Care Home Health Services LLC | Home Health | 14115 Candlewyck, Florissant, MO 63034 | 2017-09-25 |
| 1932655297 | Tiaarra Hackett | Home Health Aide | 14420 Old Halls Ferry Road, Suite 201 A, Florissant, MO 63034 | 2016-08-28 |
| 1932552817 | Always Carings Home Health Care | Home Health | 3812 Ketucky Derby Drive, Florissant, MO 63034 | 2016-07-15 |
| 1881088516 | Frankie Young | Assisted Living Facility | 3812 Kentucky Derby Drive, Florissant, MO 63034 | 2015-03-19 |
| 1881036432 | Tawanta L Johnson | Nurse Practitioner | 3957 Albers Pointe Dr, Florissant, MO 63034 | 2013-07-24 |
| Find all providers in zip 63034 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083882682 | Crestwood Health Care Center, L.L.C. | Nursing Facility/Intermediate Care Facility | 11400 Mehl Avenue, Florissant, MO 63033-7204 | 2008-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316488075 | Anna's House Residential Care Facility LLC | Nursing Facility/Intermediate Care Facility | 194 State Highway Mm, Niangua, MO 65713-8411 | 2017-03-14 |
| 1841667565 | Univest, LLC | Nursing Facility/Intermediate Care Facility | 1401 W 3rd St, Sedalia, MO 65301-3603 | 2015-08-28 |
| 1295123420 | Erin Eggen | Nursing Facility/Intermediate Care Facility | 1101 Clay Street, Versailles, MO 65084 | 2014-12-22 |
| 1518303296 | Leaetta Mildred Gardner | Nursing Facility/Intermediate Care Facility | 13450 County Road 7040, Rolla, MO 65401 | 2013-05-21 |
| 1376893297 | Reliant Care Rehabilitative Services | Nursing Facility/Intermediate Care Facility | 411 Robert Ave, Ferguson, MO 63135-3526 | 2012-09-18 |
| 1487975363 | Neighborhood Outreach Center | Nursing Facility/Intermediate Care Facility | 5325 Dr Martin Luther King Dr, Saint Louis, MO 63112-4256 | 2010-06-15 |
| 1205168523 | Nirmal K Samanta | Nursing Facility/Intermediate Care Facility | 250 Brandy Ln, Cape Girardeau, MO 63701-8443 | 2010-02-11 |
| 1225228455 | St Josephs Hill Infirmary Inc | Nursing Facility/Intermediate Care Facility | 265 St Joseph Road, Eureka, MO 63025-0550 | 2007-07-25 |
| 1316148026 | Jones Wildwood Care Center | Nursing Facility/Intermediate Care Facility | 12806 Highway 151, Madison, MO 65263-3114 | 2007-05-30 |
| 1396959045 | Blue Ridge Nursing Home | Nursing Facility/Intermediate Care Facility | 7505 E 87th St, Kansas City, MO 64138-3917 | 2007-05-10 |
| Find all providers with the same taxonomy | ||||
| City | FLORISSANT |
| Zip Code | 63034 |
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| 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.