Organization Active NPI

Holistic Horizen

  • Health & Wellness Coach
  • High Point, NC
National Provider Identifier
1740031343
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health & Wellness CoachTaxonomy code 171400000X
Legal business name
HOLISTIC HORIZEN
Practice address
3830 N Main St
High Point, NC 27265-1126
Phone
(347) 606-6460
NPI assigned
Apr 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Shaquille Henry
Title
Owner/Ceo
Phone
(347) 606-6460

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X Primary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X
Rehabilitation Clinic/Center 261QR0400X

Addresses

Primary practice location

3830 N Main St
High Point, NC 27265-1126

Mailing address

1812 McKnight Mill Rd Apt B
Greensboro, NC 27405-3970
Phone (347) 606-6460

National Provider Directory

National Provider Directory

Locations

3830 N Main St
High Point, NC 27265
Phone (336) 405-4946

NPI Registry JSON

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

{
    "created_epoch": "1711929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1740031343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1812 MCKNIGHT MILL RD APT B",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274053970",
            "telephone_number": "347-606-6460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272651126",
            "telephone_number": "347-606-6460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HORIZEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-01",
        "last_updated": "2024-04-01",
        "certification_date": "2024-03-30",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHAQUILLE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "347-606-6460"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2024; 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.