Holistic Health Service of NE Ohio

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

RN179386 Issued in OH

Legal business name

HOLISTIC HEALTH SERVICE OF NE OHIO

Practice address

250 Richmond Rd
Richmond Heights, OH 44143-1407

Phone

(216) 556-0604

NPI assigned

Jan 27, 2010

Organization subpart

No

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

Authorized official

Name

Nancy S Dale, CNPNPI 1285715516

Title

Nurse Practitioner

Phone

(216) 556-0604

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Nancy S. Dale, NP

  • Nurse Practitioner
  • Cleveland, OH
  • NPI 1285715516
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373587200000",
    "number": "1437480761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-556-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RICHMOND RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431407",
            "telephone_number": "216-556-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH SERVICE OF NE OHIO",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2013-07-12",
        "status": "A",
        "authorized_official_last_name": "DALE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "216-556-0604",
        "authorized_official_credential": "CNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "OH",
            "license": "RN179386",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "NP03562",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Welles Henderson IV, M.D.
• Satoyia Hill
• Sharilee Hines Walker, OTR/L
• Tung Ho, DO
• Lauren Hoffman, PHARM D, BCPP
• Homewood Senior Living, LLC
• Hope Health Services
• Hope Medical Transportation
• Imani Home Health Care, LLC
• Anthony Imbrogno, DO

• Health Service Clinic/Center in Richmond Heights, OH
• Providers in Richmond Heights, OH by specialty
• Health Service Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2013; 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.