Holistic Home Health, Corp.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOLISTIC HOME HEALTH, CORP.

Practice address

24600 Center Ridge Rd Ste 470
Westlake, OH 44145-5679

Phone

(440) 250-8760

Fax

(440) 250-8762

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Vilayphone Thawnghmung

Title

President

Phone

(440) 250-8760

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Home health agency certification: CCN 368148

Legal name

HOLISTIC HOME HEALTH, CORP.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 8, 2006

Last certification

Mar 1, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Aug 12, 2005 in OH

Enrollment address

24600 Center Ridge Rd
Ste 470
Westlake, OH 44145-5679

Listed as

Holistic Home Health, CorpCCN 368148

Ownership

Proprietary

Certified

Sep 8, 2006

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Home health aide

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1952475147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4418 SUMMIT VIEW RD",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430168425",
            "telephone_number": "614-327-7630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 CENTER RIDGE RD STE 470",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441455679",
            "telephone_number": "440-250-8760",
            "fax_number": "440-250-8762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HOME HEALTH, CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "THAWNGHMUNG",
        "authorized_official_first_name": "VILAYPHONE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "440-250-8760"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2702221",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Holistic Family & Behavioral Health LLC
• Jessica Christine Hollis
• Sabrina Hollowell, CNP
• Holly Donofrio Therapy LLC
• Brant Holtzmeier, D.O
• Home Health Accessibility

• Home Health Agency in Westlake, OH
• Providers in Westlake, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.