PANACHE HOLISTICS
NPI 1376296301
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Fort Myers, FL

Active since January 31, 2022
2552 BARCELONA AVE, FORT MYERS, FL 33905(239) 410-6250 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Panache Holistics NPPES

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

PANACHE HOLISTICS (NPI 1376296301) is a healthcare organization registered as an assisted living, behavioral disturbances in Fort Myers, Florida and active in the NPI registry since January 2022. The organization lists Mary E Provencher, President, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376296301
Entity TypeOrganization
Primary Taxonomy3104A0630X
Legal Business NamePANACHE HOLISTICS
Location Address2552 BARCELONA AVEFort Myers, FL 33905-2212
Mailing Address2552 Barcelona AveFort Myers, FL 33905-2212 · (239) 410-6250
Organization SubpartNo
Authorized OfficialMary E ProvencherPresident, Ceo · (239) 839-4997
Enumeration DateJanuary 31, 2022
NPPES CertifiedJanuary 31, 2022
NPI 1376296301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities
Taxonomy Code3104A0630X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
2552 BARCELONA AVE, Fort Myers, FL 33905

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 Panache Holistics's NPI number?

The NPI number for Panache Holistics is 1376296301. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Panache Holistics located?

Panache Holistics is located at 2552 Barcelona Ave, Fort Myers, FL 33905. The listed phone number is (239) 410-6250.

What is Panache Holistics's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Panache Holistics was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.