Organization Active NPI

Holistic Wellness Alliance, LLC

  • Home Health Agency
  • Mesa, AZ
National Provider Identifier
1962896720
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLISTIC WELLNESS ALLIANCE, LLC
Practice address
310 S Alma School Rd
Mesa, AZ 85210-1011
Phone
(480) 999-4644
Fax
(480) 999-4622
NPI assigned
Mar 19, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Starla Lucille Miller, RNNPI 1245816016
Title
Director of Clinical Operations
Phone
(480) 999-4644

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
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

310 S Alma School Rd
Mesa, AZ 85210-1011

Mailing address

11145 E Sombra Ave
Mesa, AZ 85212-5200
Phone (480) 999-4644

Other identifiers 2

IdentifierTypeStateIssuer
76919OtherACHC ACCREDITATION AOID
HHA9448OtherAZARIZONA DEPARTMENT OF HEALTH

Other names 1

  • Wellness Alliance Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

3707 E Southern Ave
Ste 1064
Mesa, AZ 85206
Phone (480) 999-4644

310 S Alma School Rd
Mesa, AZ 85210
Phone (480) 999-4644

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1426723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1962896720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11145 E SOMBRA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852125200",
            "telephone_number": "480-999-4644",
            "fax_number": "480-999-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 S ALMA SCHOOL RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852101011",
            "telephone_number": "480-999-4644",
            "fax_number": "480-999-4622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC WELLNESS ALLIANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-19",
        "last_updated": "2021-03-22",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "STARLA",
        "authorized_official_middle_name": "LUCILLE",
        "authorized_official_title_or_position": "DIRECTOR OF CLINICAL OPERATIONS",
        "authorized_official_telephone_number": "480-999-4644",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACHC ACCREDITATION AOID",
            "identifier": "76919",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH",
            "identifier": "HHA9448",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness Alliance Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2021; 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.