Organization Active NPI

Valley of Hope Holistic Medical Center

  • Family Medicine Physician
  • West Palm Beach, FL
National Provider Identifier
1467064824
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY OF HOPE HOLISTIC MEDICAL CENTER
Practice address
2100 45TH St Ste B23B24
West Palm Beach, FL 33407-2016
Phone
(561) 814-2786
NPI assigned
Aug 18, 2020
Organization subpart
Yes
Parent organization
FATIMA MEDICAL GROUP, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Dr. Immacula Michel, MD
Title
Medical Director
Phone
(305) 321-7761

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2100 45TH St Ste B23B24
West Palm Beach, FL 33407-2016

Mailing address

2100 45TH St Ste B23B24
West Palm Beach, FL 33407-2016
Phone (561) 814-2786

National Provider Directory

National Provider Directory
Part of
Fatima Medical Group LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1467064824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 45TH ST STE B23B24",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072016",
            "telephone_number": "561-814-2786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 45TH ST STE B23B24",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072016",
            "telephone_number": "561-814-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF HOPE HOLISTIC MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FATIMA MEDICAL GROUP, LLC",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "MICHEL",
        "authorized_official_first_name": "IMMACULA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-321-7761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.