Holistic Family Healthcare & Spa, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

3882 Issued in SC

Legal business name

HOLISTIC FAMILY HEALTHCARE & SPA, LLC

Practice address

2213 W Palmetto St Unit D
Florence, SC 29501-3909

NPI assigned

Nov 5, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jennifer Marlena Evans, DCNPI 1578993820

Title

Chiropractor

Phone

(843) 992-7604

Specialties & licenses 1

Addresses

Other names 1

• Evans Family Chiropractic Former legal business name

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 3

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

• Jennifer Marlena Evans, D.C

  • Chiropractor
  • Florence, SC
  • NPI 1578993820
  Medicare reassignment NPD Authorized official
• Kylie M Boyer, M.S. SLP

  • Speech-Language Pathologist
  • Florence, SC
  • NPI 1942954177
  NPD (past)
• Franyeris Mercado, MS CCC-CFY

  • Speech-Language Pathologist
  • Florence, SC
  • NPI 1447942941
  NPD (past)

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

{
    "created_epoch": "1509840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509840000000",
    "number": "1629580253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 PILCHARD CT",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295055266",
            "telephone_number": "843-992-7604",
            "fax_number": "843-799-4784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 W PALMETTO ST UNIT D",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295013909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC FAMILY HEALTHCARE & SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-05",
        "last_updated": "2017-11-05",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARLENA",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "843-992-7604",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evans Family Chiropractic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Phillip Alexander Holbrooks, ATC
• Charles A Holden III, MSW
• Erin Leah Holden
• Kimberly C Holdford, PHARM D
• Denise Holiday
• Holistic Therapeutic Services of SC LLC
• Lewis Stone Holland, MS, LPC, C-DBT
• Evans P. Holland, Jr., M.D.
• Segee Raquel Holley
• Monica Latoya Holloway

• Chiropractor in Florence, SC
• Providers in Florence, SC by specialty
• Chiropractor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2017; 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.