Organization Active NPI

Holistic Healthcare LLC

  • Nursing Facility/Intermediate Care Facility
  • Florissant, MO
National Provider Identifier
1417334137
Registry record updated May 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
2000150468 Issued in MO
Legal business name
HOLISTIC HEALTHCARE LLC
Practice address
4630 Robbins Grove Dr
Florissant, MO 63034-2840
Phone
(314) 918-5736
NPI assigned
May 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2015

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

Authorized official

Name
Chantay Monique King, RN
Title
Director
Phone
(314) 458-5451

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X 2000150468 MO Primary

Addresses

Primary practice location

4630 Robbins Grove Dr
Florissant, MO 63034-2840

Mailing address

4630 Robbins Grove Dr
Florissant, MO 63034-2840
Phone (314) 918-5736

Other identifiers 1

IdentifierTypeStateIssuer
2000150468OtherMORN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430438400000",
    "number": "1417334137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4630 ROBBINS GROVE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342840",
            "telephone_number": "314-918-5736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4630 ROBBINS GROVE DR",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630342840",
            "telephone_number": "314-918-5736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-01",
        "last_updated": "2015-05-01",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "314-458-5451",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "MO",
            "license": "2000150468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "2000150468",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2015; 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.