NPIMap

Organization Active NPI

Holiverse, Inc.

  • Health & Wellness Coach
  • Coral Springs, FL
National Provider Identifier
1215664404
Registry record updated Aug 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
HOLIVERSE, INC.
Practice address
9575 NW 25TH CT
Coral Springs, FL 33065-4975
Phone
(305) 986-0909
NPI assigned
Aug 6, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2022

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

Authorized official

Name
Ms. Raquel R Kelley
Title
President
Phone
(305) 986-0909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193400000X SINGLE SPECIALTY GROUP 171400000X Primary

Addresses

Primary practice location

9575 NW 25TH CT
Coral Springs, FL 33065-4975

Mailing address

9575 NW 25TH CT
Coral Springs, FL 33065-4975
Phone (305) 986-0909

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659744000000",
    "number": "1215664404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9575 NW 25TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654975",
            "telephone_number": "305-986-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9575 NW 25TH CT",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654975",
            "telephone_number": "305-986-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIVERSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-06",
        "last_updated": "2022-08-06",
        "certification_date": "2022-08-06",
        "status": "A",
        "authorized_official_last_name": "KELLEY",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-986-0909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2022; 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.