Organization Active NPI

Healing Hands of Suwannee County, LLC

  • Health Maintenance Organization
  • Live Oak, FL
National Provider Identifier
1194981654
Registry record updated Aug 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MA 52983 Issued in FL
Legal business name
HEALING HANDS OF SUWANNEE COUNTY, LLC
Practice address
405 11TH St SW
Suite a 101-a
Live Oak, FL 32064-3161
Phone
(386) 362-7727
NPI assigned
Aug 4, 2008
Last updated
Aug 4, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2008

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

Authorized official

Name
Mrs. Holli Jane Latreille, MA 52983
Title
Licensed Massage Therapist
Phone
(386) 362-7727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MA 52983 FL Primary

Addresses

Primary practice location

405 11TH St SW
Suite a 101-a
Live Oak, FL 32064-3161

Mailing address

405 11TH St SW
Suite a 101-a
Live Oak, FL 32064-3161
Phone (386) 362-7727

National Provider Directory

National Provider Directory

Locations

405 11th St SW
Ste 101
Live Oak, FL 32064
Phone (386) 362-7727

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217808000000",
    "number": "1194981654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 11TH ST SW",
            "address_2": "SUITE A 101-A",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643161",
            "telephone_number": "386-362-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 11TH ST SW",
            "address_2": "SUITE A 101-A",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643161",
            "telephone_number": "386-362-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HANDS OF SUWANNEE COUNTY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-04",
        "last_updated": "2008-08-04",
        "status": "A",
        "authorized_official_last_name": "LATREILLE",
        "authorized_official_first_name": "HOLLI",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "386-362-7727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA 52983"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "MA 52983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2008; 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.