Holistic Individual Support Living LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HOLISTIC INDIVIDUAL SUPPORT LIVING LLC

Doing business as

Holistic

Practice address

529 Aurora Ave
Jefferson City, MO 65101-2816

Phone

(202) 518-7073

NPI assigned

Dec 14, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Jovin M Bayingana, DNP, DR.

Title

Ceo

Phone

(207) 518-7073

Specialties & licenses 1

Addresses

Other names 1

• Holistic Doing business as

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

{
    "created_epoch": "1734134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1215744198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 AURORA AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012816",
            "telephone_number": "207-518-7073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 AURORA AVE",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651012816",
            "telephone_number": "202-518-7073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC INDIVIDUAL SUPPORT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "BAYINGANA",
        "authorized_official_first_name": "JOVIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-518-7073",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, DR."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holistic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Hodges-Earnest, FNP
• Audrey Rose Hoff
• Megan Hoffmeyer, M.S., CCC-SLP
• Rebecca Lynn Hogg, M.D.
• Melissa Holcomb, FNP
• Hollon Family Chiropractic, LLC
• Derrijk Len Hollon, D.C.
• Patrice Holly, CRNA
• Jana Lynn Holsman, FNP
• Janette Marie Holt, PHARMD

• Mental Illness Community Based Residential Treatment Facility in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Mental Illness Community Based Residential Treatment Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.