Organization Active NPI

House of Healing Wellness Spa

  • Massage Therapist
  • Bohemia, NY
National Provider Identifier
1427765213
Registry record updated Nov 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
HOUSE OF HEALING WELLNESS SPA
Practice address
4779 Sunrise Hwy Ste 15
Bohemia, NY 11716-4609
Phone
(631) 404-7073
Fax
(631) 751-8298
NPI assigned
Nov 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2022

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

Authorized official

Name
Deirdre McCool
Title
Biller
Phone
(631) 404-7073

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

4779 Sunrise Hwy Ste 15
Bohemia, NY 11716-4609

Mailing address

4779 Sunrise Hwy Ste 15
Bohemia, NY 11716-4609
Phone (631) 404-7073

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL dmcollect1@gmail.com Direct

National Provider Directory

National Provider Directory

Locations

4779 Sunrise Hwy
Ste 15
Bohemia, NY 11716

Practitioners & affiliated clinicians

Practitioners 1

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": "1667260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667260800000",
    "number": "1427765213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4779 SUNRISE HWY STE 15",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164609",
            "telephone_number": "631-404-7073",
            "fax_number": "631-751-8298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4779 SUNRISE HWY STE 15",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117164609",
            "telephone_number": "631-404-7073",
            "fax_number": "631-751-8298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HEALING WELLNESS SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-11-01",
        "status": "A",
        "authorized_official_last_name": "MCCOOL",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "631-404-7073"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "dmcollect1@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4779 Sunrise Hwy Ste 15",
            "city": "Bohemia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117164609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

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