Holistic Community Care, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOLISTIC COMMUNITY CARE, INC

Practice address

6429 Paddington Way
Antioch, TN 37013-1150

Phone

(615) 479-1418

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Mary Poni Cornelius I

Title

Owner

Phone

(615) 479-1418

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1861254153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 MURFREESBORO PIKE BLDG C",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372173327",
            "telephone_number": "615-479-1418",
            "fax_number": "615-621-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6429 PADDINGTON WAY",
            "city": "ANTIOCH",
            "state": "TN",
            "postal_code": "370131150",
            "telephone_number": "615-479-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC COMMUNITY CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "CORNELIUS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PONI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-479-1418",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "I"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• In Home Supportive Care Agency in Antioch, TN
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• In Home Supportive Care Agency in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.