Organization Active NPI

Holistix Outpatient Center

Doing business as Holistix Treatment Centers

  • Substance Abuse Rehabilitation Facility
  • Philadelphia, PA
National Provider Identifier
1164931440
Registry record updated Sep 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
HOLISTIX OUTPATIENT CENTER
Doing business as
Holistix Treatment Centers
Practice address
219 E High St
Philadelphia, PA 19144-1101
Phone
(561) 676-2792
NPI assigned
Sep 29, 2017
Last updated
Sep 29, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLISTIX OUTPATIENT CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Irene Manko
Title
Billing
Phone
(561) 676-2792

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

219 E High St
Philadelphia, PA 19144-1101

Mailing address

219 E High St
Philadelphia, PA 19144-1101

Other names 1

  • Holistix Treatment Centers Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Holistix Outpatient Center2 organizations share this tax ID, including this one
Part of
Holistix Outpatient Center

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1164931440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 E HIGH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191441101",
            "telephone_number": "561-676-2792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIX OUTPATIENT CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLISTIX OUTPATIENT CENTER",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "MANKO",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "561-676-2792"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistix Treatment Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.