Wholistic Healthcare Services, Inc.

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

WHOLISTIC HEALTHCARE SERVICES, INC.

Practice address

12201 Western Ave Ste 12
Blue Island, IL 60406-1363

Phone

(773) 947-8117

Fax

(773) 947-8599

NPI assigned

May 24, 2006

Organization subpart

No

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

Authorized official

Name

Gregory Holcomb

Title

Administrator

Phone

(773) 947-8117

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Verbie Mae Jones, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1144431131
  NPD (past)
• Kennedy McMullen, M.D.

  • Specialist
  • Forest Park, IL
  • NPI 1548204878
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174578462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 E 71ST ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606491913",
            "telephone_number": "773-947-8117",
            "fax_number": "773-947-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 WESTERN AVE STE 12",
            "city": "BLUE ISLAND",
            "state": "IL",
            "postal_code": "604061363",
            "telephone_number": "773-947-8117",
            "fax_number": "773-947-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLISTIC HEALTHCARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOLCOMB",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-947-8117"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earnest Wallace
• Carol Palmer Wardlaw, RN,APN
• Julia Wegmann, MSW, LSW
• Anthony West
• Takenya White
• Barbara May Wieties-Malm, MD
• Sarah L Williams
• Shirley Vernetha Willis III, REGISTERED NURSE
• Alma Wingard
• Scott Charles Wirtanen, PHARMD

• Mental Illness Community Based Residential Treatment Facility in Blue Island, IL
• Providers in Blue Island, IL by specialty
• Mental Illness Community Based Residential Treatment Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.