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HOLON HEALTH GREAT LAKES, P.C.
NPI 1740084896
Clinic/Center - Community Health in Tucson, AZ

Active since April 01, 2025
5650 S 12TH AVE STE 132, TUCSON, AZ 85706(877) 465-6650 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 30, 2026, Mar 20, 2026, Apr 1, 2025 (3 updates tracked since 2025).

About Holon Health Great Lakes, P.c. NPPES

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

HOLON HEALTH GREAT LAKES, P.C. (NPI 1740084896), doing business as Holon Health, is a healthcare organization registered as a community health in Tucson, Arizona and active in the NPI registry since April 2025. The organization maintains a secondary practice location in Nogales and lists Jason Herzog, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740084896
Entity TypeOrganization
Primary Taxonomy261QC1500X
Legal Business NameHOLON HEALTH GREAT LAKES, P.C.
Location Address5650 S 12TH AVE STE 132Tucson, AZ 85706-3187
Mailing Address3540 Pump Rd # 1188Richmond, VA 23233-1115 · (804) 955-5246
Phone(877) 465-6650
Organization SubpartNo
Authorized OfficialJason HerzogCeo · (804) 955-5246
Enumeration DateApril 1, 2025
Last NPPES UpdateMarch 30, 20263 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
✔ NPI 1740084896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Community HealthAmbulatory Health Care Facilities
Taxonomy Code261QC1500X
5650 S 12TH AVE STE 132, Tucson, AZ 85706
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Other Names 1

Doing Business AsHolon Health

Secondary Practice Location 1

Location 11740 N Mastick Way Ste CNogales, AZ 85621-1155 · Phone (877) 465-6650 · Fax (804) 294-2775

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANGELA CASTO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5650 S 12TH AVE STE 132
TUCSON, AZ 85706
Pima County (877) 465-6650
AICHA EVELYNE KAKOU FNP
Nurse Practitioner (Family)
5650 S 12TH AVE STE 132
TUCSON, AZ 85706
Pima County (877) 465-6650

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 Holon Health Great Lakes, P.C.'s NPI number?

The NPI number for Holon Health Great Lakes, P.C. is 1740084896. It was assigned to this organization in the NPPES registry on April 1, 2025. The provider is doing business as Holon Health.

Where is Holon Health Great Lakes, P.C. located?

Holon Health Great Lakes, P.C. is located at 5650 S 12th Ave Ste 132, Tucson, AZ 85706. The listed phone number is (877) 465-6650.

What is Holon Health Great Lakes, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Community Health, with taxonomy code 261QC1500X.

When was this NPI record last updated?

The NPPES record for Holon Health Great Lakes, P.C. was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.