Provider Demographics
NPI:1922856376
Name:NI-KAHCHI PURE
Entity type:Organization
Organization Name:NI-KAHCHI PURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:
Authorized Official - Last Name:CORRENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-793-8588
Mailing Address - Street 1:649 WHITE HORSE PIKE STE 3
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-9649
Mailing Address - Country:US
Mailing Address - Phone:609-666-5205
Mailing Address - Fax:
Practice Address - Street 1:649 WHITE HORSE PIKE STE 4
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-9649
Practice Address - Country:US
Practice Address - Phone:609-666-5205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HOLISTIC BY NATURE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171400000XOther Service ProvidersHealth & Wellness CoachGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty