Active NPI
Holistic Wellness Alliance, LLC
- Home Health Agency
- Mesa, AZ
National Provider Identifier
1962896720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Starla Lucille Miller, RN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 76919 | Other | ACHC ACCREDITATION AOID | |
| HHA9448 | Other | AZ | ARIZONA DEPARTMENT OF HEALTH |
Other names 1
- Wellness Alliance Home Health
National Provider Directory
National Provider DirectoryLocations
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.
-
- Registered Nurse
- Mesa, AZ
- NPI 1245816016
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.