HOLISTIC INDIVIDUAL SUPPORT LIVING LLC NPI 1215744198

NPI Information

  • NPI: 1215744198
  • Provider Name: HOLISTIC INDIVIDUAL SUPPORT LIVING LLC
  • Classification: Community Based Residential Treatment Facility, Mental Illness - 320800000X
  • Entity Type: Organization
  • Doing Business As: HOLISTIC
  • Address: 529 AURORA AVE
    JEFFERSON CITY, MO
    ZIP 65101
  • Phone: (202) 518-7073

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NPI Details

HOLISTIC INDIVIDUAL SUPPORT LIVING LLC is a community based residential treatment facility mental illness in Jefferson City, MO. The provider is a home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. HOLISTIC INDIVIDUAL SUPPORT LIVING LLC NPI is 1215744198. The provider is registered as an organization entity type.
The provider Is Doing Business As Holistic.

The provider's business location address is:

529 AURORA AVE
JEFFERSON CITY, MO
ZIP 65101-816
Phone: (202) 518-7073

The provider's authorized official is Jovin M Bayingana .
The authorized official title is Ceo and has the following contact phone number (207) 518-7073.

The enumeration date for this NPI number is 12/14/2024 and was last updated on 12/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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