Holistic Health & Detox Center, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

HOLISTIC HEALTH & DETOX CENTER, LLC

Practice address

2016 S Elizabeth St
Kokomo, IN 46902-2430

Phone

(765) 450-4776

Fax

(765) 450-4776

NPI assigned

Mar 28, 2019

Last updated

Sep 18, 2019By 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

Dr. Mika J Fujii, MDNPI 1255742631

Title

Director

Phone

(765) 450-4776

Specialties & licenses 2

Addresses

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.

• Mika Julia Fujii, M.D.

  • Internal Medicine Physician
  • Kokomo, IN
  • NPI 1255742631
  Authorized official Same address or phone

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568764800000",
    "number": "1689135964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 S ELIZABETH ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022430",
            "telephone_number": "765-450-4776",
            "fax_number": "765-450-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2016 S ELIZABETH ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469022430",
            "telephone_number": "765-450-4776",
            "fax_number": "765-450-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH & DETOX CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-09-18",
        "status": "A",
        "authorized_official_last_name": "FUJII",
        "authorized_official_first_name": "MIKA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "765-450-4776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila F. Hockman, DO
• Timothy James Hockman
• Roberta Rebecca Hodgin, COTA/L
• Katelyn Holcomb, LMFTA
• Ellman Barkley Holder, RN
• Courtney Allen Holland, MD
• Jetney Hollonquest
• Alexis Holt, AUD
• Emily Rose Holt
• Brian Hom, MD

• Health Service Clinic/Center in Kokomo, IN
• Providers in Kokomo, IN by specialty
• Health Service Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2019; 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.