Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KAYLORA HOLISTIC WELLNESS & RECOVERY LLC
NPI 1396606596
Nurse Practitioner - Psychiatric/Mental Health in Blacklick, OH

Active since November 19, 2025
8693 BRENSTUHL PARK DR, BLACKLICK, OH 43004(614) 989-6019 Get Directions Write a Review

NPPES record last updated: October 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 29, 2026, Nov 19, 2025 (2 updates tracked since 2025).

About Kaylora Holistic Wellness & Recovery Llc NPPES

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

KAYLORA HOLISTIC WELLNESS & RECOVERY LLC (NPI 1396606596) is a healthcare organization registered as a psychiatric/mental health in Blacklick, Ohio and active in the NPI registry since November 2025. The organization lists Grace Kakie Awo Aidoo, Pmhnp-bc, Aprn-cnp, as its authorized official.

NPPES Registry Identity

NPI1396606596
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKAYLORA HOLISTIC WELLNESS & RECOVERY LLC
Location Address8693 BRENSTUHL PARK DRBlacklick, OH 43004-8828
Mailing Address8693 Brenstuhl Park DrBlacklick, OH 43004-8828
Organization SubpartNo
Authorized OfficialGrace Kakie Awo AidooPmhnp-bc, Aprn-cnp · (614) 989-6019
Enumeration DateNovember 19, 2025
Last NPPES UpdateOctober 29, 20262 updates tracked since enumeration
NPPES CertifiedOctober 29, 2026
✔ NPI 1396606596 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
8693 BRENSTUHL PARK DR, Blacklick, OH 43004

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaylora Holistic Wellness & Recovery Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Kaylora Holistic Wellness & Recovery LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1639860182
8693 BRENSTUHL PARK DR
Blacklick, OH 43004
(614) 989-6019
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kaylora Holistic Wellness & Recovery LLC's NPI number?

The NPI number for Kaylora Holistic Wellness & Recovery LLC is 1396606596. It was assigned to this organization in the NPPES registry on November 19, 2025.

Where is Kaylora Holistic Wellness & Recovery LLC located?

Kaylora Holistic Wellness & Recovery LLC is located at 8693 Brenstuhl Park Dr, Blacklick, OH 43004. The listed phone number is (614) 989-6019.

What is Kaylora Holistic Wellness & Recovery LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Kaylora Holistic Wellness & Recovery LLC enrolled in Medicare?

Yes. Kaylora Holistic Wellness & Recovery LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kaylora Holistic Wellness & Recovery LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kaylora Holistic Wellness & Recovery LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Kaylora Holistic Wellness & Recovery LLC accept?

Health plans from CareSource and Molina Healthcare list Kaylora Holistic Wellness & Recovery LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kaylora Holistic Wellness & Recovery LLC was last updated on October 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days 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.