Individual provider Active NPI

Janice Holman

  • Case Manager/Care Coordinator
  • Coachella, CA
National Provider Identifier
1184258550
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone
(760) 541-8520
Fax
(760) 262-3795
NPI assigned
Feb 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480

Mailing address

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone (760) 541-8520

Other practice location 1

49211 Grapefruit Blvd Ste 6
Coachella, CA 92236-1480
Phone (760) 541-8520 ext. 46113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oasis Behavioral Health, Inc. PastSince Mar 1, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1184258550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 6",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480",
            "telephone_number": "760-541-8520",
            "fax_number": "760-262-3795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49211 GRAPEFRUIT BLVD STE 6",
            "city": "COACHELLA",
            "state": "CA",
            "postal_code": "922361480",
            "telephone_number": "760-541-8520",
            "fax_number": "760-262-3795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49211 Grapefruit Blvd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Coachella",
            "state": "CA",
            "postal_code": "922361480",
            "country_code": "US",
            "telephone_number": "760-541-8520 x46113",
            "fax_number": "760-262-3795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "JANICE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coachella, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.