NPIMap

Organization Active NPI

Holistic Will

  • Recovery Care Clinic/Center
  • Boynton Beach, FL
National Provider Identifier
1962865048
Registry record updated Apr 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Recovery Care Clinic/CenterTaxonomy code 261QR0800X
Legal business name
HOLISTIC WILL
Practice address
2500 Quantum Lakes Dr Ste 212
Boynton Beach, FL 33426-8308
Phone
(561) 223-6200
Fax
(561) 223-6250
NPI assigned
Apr 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2016

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

Authorized official

Name
Keli Kornmiller
Title
Senior Credentialing Specialist
Phone
(561) 672-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Recovery Care Clinic/Center 261QR0800X FL Primary

Addresses

Primary practice location

2500 Quantum Lakes Dr Ste 212
Boynton Beach, FL 33426-8308

Mailing address

2500 Quantum Lakes Dr Ste 212
Boynton Beach, FL 33426-8308
Phone (561) 223-6200

National Provider Directory

National Provider Directory
Tax ID family
Holistic Will2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2500 Quantum Lakes Dr
Ste 212
Boynton Beach, FL 33426
Phone (561) 223-6200

NPI Registry JSON

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

{
    "created_epoch": "1459814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459814400000",
    "number": "1962865048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 212",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-223-6200",
            "fax_number": "561-223-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 QUANTUM LAKES DR STE 212",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268308",
            "telephone_number": "561-223-6200",
            "fax_number": "561-223-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WILL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-05",
        "last_updated": "2016-04-05",
        "status": "A",
        "authorized_official_last_name": "KORNMILLER",
        "authorized_official_first_name": "KELI",
        "authorized_official_title_or_position": "SENIOR CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "561-672-8345"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2016; 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.