HOLYSTIC HEALTH SERVICES LLC
NPI 1588401145
Nurse Practitioner - Family in Lanham, MD
About Holystic Health Services Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLYSTIC HEALTH SERVICES LLC (NPI 1588401145) is a healthcare organization registered as a family in Lanham, Maryland and active in the NPI registry since July 2024. The organization maintains a secondary practice location in Columbia and lists Betrand Ekenja, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holystic Health Services 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 Holystic Health Services LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Holystic Health Services LLC's NPI number?
The NPI number for Holystic Health Services LLC is 1588401145. It was assigned to this organization in the NPPES registry on July 11, 2024.
Where is Holystic Health Services LLC located?
Holystic Health Services LLC is located at 7375 Executive Pl Ste 400 #1001, Lanham, MD 20706. The listed phone number is (301) 683-8313.
What is Holystic Health Services LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Holystic Health Services LLC enrolled in Medicare?
Yes. Holystic Health Services LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holystic Health Services LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Holystic Health Services 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.
When was this NPI record last updated?
The NPPES record for Holystic Health Services LLC was last updated on July 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Holystic Health Services Llc · NPI 1588401145
Family organization in Lanham, Maryland. Organization record, active in the CMS NPPES registry since July 11, 2024.
## Identity
- **NPI:** 1588401145 (Entity type: Organization)
- **Enumerated:** July 11, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Betrand Ekenja, CEO
## Practice location
- **Address:** 7375 EXECUTIVE PL STE 400 #1001, Lanham, MD 20706-6232
- **Phone:** (301) 683-8313 · **Fax:** (859) 208-1326
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1588401145) · Data from the CMS NPPES public registry.