Holistic Health LLC

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

License

COA 12022-NP Issued in OH

Legal business name

HOLISTIC HEALTH LLC

Practice address

4109 Sequoia Ave
Grove City, OH 43123-9031

Phone

(614) 507-9604

NPI assigned

Sep 27, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Everett Henry Bayliss Jr., MSN

Title

CNP

Phone

(614) 507-9604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1380240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1457788176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431230549",
            "telephone_number": "614-507-9604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4109 SEQUOIA AVE",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "431239031",
            "telephone_number": "614-507-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-27",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "BAYLISS",
        "authorized_official_first_name": "EVERETT",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "CNP",
        "authorized_official_telephone_number": "614-507-9604",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSN"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "OH",
            "license": "COA 12022-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Supports Brokerage Agency in Grove City, OH
• Providers in Grove City, OH by specialty
• Supports Brokerage Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.