1255546206 NPI number — HOLISTIC HARMONY INC.

Table of content: (NPI 1255546206)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1255546206 NPI number — HOLISTIC HARMONY INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HOLISTIC HARMONY INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
COMPREHENSIVE CARE & WELLNESS
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1255546206
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/10/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7421 S 36TH ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINCOLN
Provider Business Mailing Address State Name:
NE
Provider Business Mailing Address Postal Code:
68516-5701
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
402-480-0082
Provider Business Mailing Address Fax Number:
402-421-8739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1919 S 40TH ST
Provider Second Line Business Practice Location Address:
SUITE 320A
Provider Business Practice Location Address City Name:
LINCOLN
Provider Business Practice Location Address State Name:
NE
Provider Business Practice Location Address Postal Code:
68506-5243
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
402-480-0082
Provider Business Practice Location Address Fax Number:
402-421-8739
Provider Enumeration Date:
05/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
HUGHES
Authorized Official First Name:
DEBBIE
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
402-480-0082

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  110769 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 363LP0808X , with the licence number: 110769 , registered in the state of NE ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 39086 . This is a "BLUE CROSS BLUE SHIELD" identifier , issued by the state of ( NE ) . This identifiers is of the category "OTHER".
  • Identifier: 10025564100 , issued by the state of ( NE ) . This identifiers is of the category "MEDICAID".




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