Organization Active NPI

Holistic Health Care, Inc.

  • Community Based Hospice Care Agency
  • Vestavia, AL
National Provider Identifier
1811049059
Registry record updated Oct 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
E3729 Issued in AL
Legal business name
HOLISTIC HEALTH CARE, INC.
Practice address
2090 Columbiana Road
Suite 3600
Vestavia, AL 35216
Phone
(205) 824-3884
Fax
(205) 824-3886
NPI assigned
Jan 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2010

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

Authorized official

Name
Mrs. Raven L. Bayles, MBA
Title
Executive Director
Phone
(205) 296-7699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X E3729 AL Primary

Addresses

Primary practice location

2090 Columbiana Road
Suite 3600
Vestavia, AL 35216

Mailing address

2090 Columbiana Road
Suite 3600
Vestavia, AL 35216
Phone (205) 824-3884

Other identifiers 1

IdentifierTypeStateIssuer
PIC1652EMedicaidAL

National Provider Directory

National Provider Directory

Locations

2090 Columbiana Rd
Ste 3600
Vestavia Hills, AL 35216
Phone (205) 824-3884

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286496000000",
    "number": "1811049059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA ROAD",
            "address_2": "SUITE 3600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-824-3884",
            "fax_number": "205-824-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2090 COLUMBIANA ROAD",
            "address_2": "SUITE 3600",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "35216",
            "telephone_number": "205-824-3884",
            "fax_number": "205-824-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2010-10-08",
        "status": "A",
        "authorized_official_last_name": "BAYLES",
        "authorized_official_first_name": "RAVEN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "205-296-7699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "E3729",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PIC1652E",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2010; 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.