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HOLISTIC
NPI 1215744198
Community Based Residential Treatment Facility, Mental Illness in Jefferson City, MO

Active since December 14, 2024
529 AURORA AVE, JEFFERSON CITY, MO 65101(202) 518-7073 Get Directions Write a Review

NPPES record last updated: December 30, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 30, 2024, Dec 14, 2024 (2 updates tracked since 2024).

About Holistic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLISTIC (NPI 1215744198) is a healthcare organization registered as a community based residential treatment facility, mental illness in Jefferson City, Missouri and active in the NPI registry since December 2024. The organization lists Jovin M Bayingana, Ceo, as its authorized official.

NPPES Registry Identity

NPI1215744198
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameHOLISTIC INDIVIDUAL SUPPORT LIVING LLC
Location Address529 AURORA AVEJefferson City, MO 65101-2816
Mailing Address529 Aurora AveJefferson City, MO 65101-2816 · (207) 518-7073
Phone(202) 518-7073
Organization SubpartNo
Authorized OfficialJovin M BayinganaCeo · (207) 518-7073
Enumeration DateDecember 14, 2024
Last NPPES UpdateDecember 30, 20242 updates tracked since enumeration
NPPES CertifiedDecember 30, 2024
✔ NPI 1215744198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
529 AURORA AVE, Jefferson City, MO 65101
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Other Names 1

Doing Business AsHolistic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holistic Individual Support Living LLC's NPI number?

The NPI number for Holistic Individual Support Living LLC is 1215744198. It was assigned to this organization in the NPPES registry on December 14, 2024. The provider is doing business as Holistic.

Where is Holistic Individual Support Living LLC located?

Holistic Individual Support Living LLC is located at 529 Aurora Ave, Jefferson City, MO 65101. The listed phone number is (202) 518-7073.

What is Holistic Individual Support Living LLC's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Holistic Individual Support Living LLC was last updated on December 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.