Holistix by the Sea, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

1706AD706002 Issued in FL

Legal business name

HOLISTIX BY THE SEA, LLC

Practice address

3217 NE 9TH St
Pompano Beach, FL 33062-4069

Phone

(954) 491-3413

NPI assigned

Feb 9, 2015

Last updated

Feb 9, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alan Tyler

Title

Executive Director

Phone

(954) 899-4131

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Holistix by the Sea2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Holistix by the Sea

  • Substance Abuse Rehabilitation Facility
  • Margate, FL
  • NPI 1730431222
  NPD tax ID

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.

• Jeffrey Hayden Simon, M.D.

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1861651077
  NPD

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

{
    "created_epoch": "1423440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423440000000",
    "number": "1518358803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 NW 2ND AVE",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330605604",
            "telephone_number": "877-872-7730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 NE 9TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624069",
            "telephone_number": "954-491-3413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIX BY THE SEA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-09",
        "last_updated": "2015-02-09",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "954-899-4131"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1706AD706002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA STATE DCF LICENSE",
            "identifier": "1706AD706002",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holiday CVS LLC (CVS Pharmacy #03635)
• Holiday CVS LLC (CVS Pharmacy #03905)
• Holiday CVS LLC (CVS Pharmacy #03287)
• Holiday CVS LLC (CVS Pharmacy #02848)
• Holistic Healing & Chiropractic, LLC
• Holistix Medical Group
• Jeffrey Dean Holland
• Sheri A Holland
• Stefanie Holler
• Jessica Holley

• Substance Abuse Rehabilitation Facility in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.