Organization Active NPI

Holistic Healing Home Health LLC

Doing business as Holistic Healing Health LLC

  • Clinical Medical Laboratory
  • Dearborn, MI
National Provider Identifier
1841951738
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
HOLISTIC HEALING HOME HEALTH LLC
Doing business as
Holistic Healing Health LLC
Practice address
23043 Columbia St
Dearborn, MI 48124-3435
Phone
(313) 310-9151
Fax
(313) 447-2777
NPI assigned
Jan 4, 2022
Last updated
Jun 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
HOLISTIC HEALING HOME HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Sara HawilyNPI 1396417473
Title
Nurse Practitioner
Phone
(313) 310-9151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

23043 Columbia St
Dearborn, MI 48124-3435

Mailing address

23043 Columbia St
Dearborn, MI 48124-3435
Phone (313) 310-9151

Other names 1

  • Holistic Healing Health LLC Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2220518Holistic Healing Home Health LLC23043 Columbia St, Dearborn, MI 48124Certificate of waiverApr 12, 2027

National Provider Directory

National Provider Directory
Part of
Holistic Healing Home Health LLC

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1841951738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23043 COLUMBIA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243435",
            "telephone_number": "313-310-9151",
            "fax_number": "313-447-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23043 COLUMBIA ST",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481243435",
            "telephone_number": "313-310-9151",
            "fax_number": "313-447-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALING HOME HEALTH LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLISTIC HEALING HOME HEALTH LLC",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "HAWILY",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "313-310-9151"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Healing Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dearborn, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.