Organization Active NPI

Holistic Touch Healthcare LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glen Burnie, MD
National Provider Identifier
1255951372
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
HOLISTIC TOUCH HEALTHCARE LLC
Practice address
1412 Crain Hwy N Ste 3a
Glen Burnie, MD 21061-7000
Phone
(410) 595-5029
Fax
(800) 611-7439
NPI assigned
Apr 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Authorized official

Name
Gloria A Ojo, DNP, PMHNP-BC, FNP-CNPI 1467799361
Title
Ceo
Phone
(301) 257-1084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1412 Crain Hwy N Ste 3a
Glen Burnie, MD 21061-7000

Mailing address

1412 Crain Hwy N Ste 3a
Glen Burnie, MD 21061-7000
Phone (410) 595-5029

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200702000034 MD Part B Supplier - Clinic/Group Practice 4880017219 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Glen Burnie, MD

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Holistic Touch Healthcare LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1587168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1255951372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 CRAIN HWY N STE 3A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617000",
            "telephone_number": "410-595-5029",
            "fax_number": "800-611-7439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 CRAIN HWY N STE 3A",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210617000",
            "telephone_number": "410-595-5029",
            "fax_number": "800-611-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC TOUCH HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-18",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "OJO",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-257-1084",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.