Adult & Geriatric Wholistic Health LLC
NPI 1205642915 · Psychiatric/Mental Health Nurse Practitioner · Stafford, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Adult & Geriatric Wholistic Health LLC is a Psychiatric/Mental Health Nurse Practitioner organization in Stafford, TX (NPI 1205642915).
Provider details
- NPI number
- 1205642915
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Patricia Mbola, Manager(832) 908-8136
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Gerontology Nurse Practitioner363LG0600X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Adult & Geriatric Wholistic Health LLC
Registry dates
- Enumerated
- 2024-12-06
- Last updated
- 2024-12-06
- Certified
- 2024-12-06
Frequently asked questions
- What is Adult & Geriatric Wholistic Health LLC's NPI number?
- Adult & Geriatric Wholistic Health LLC's National Provider Identifier (NPI) is 1205642915, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Adult & Geriatric Wholistic Health LLC?
- Adult & Geriatric Wholistic Health LLC is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Adult & Geriatric Wholistic Health LLC located?
- Adult & Geriatric Wholistic Health LLC's practice location on file with NPPES is 647 S Marathon Way, Stafford, TX 77477-5841.
- What is Adult & Geriatric Wholistic Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Adult & Geriatric Wholistic Health LLC is (832) 908-8136.
- Does Adult & Geriatric Wholistic Health LLC accept Medicare?
- Adult & Geriatric Wholistic Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Adult & Geriatric Wholistic Health LLC?
- The authorized official listed on Adult & Geriatric Wholistic Health LLC's NPPES record is Patricia Mbola, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Adult & Geriatric Wholistic Health LLC's NPI active?
- Yes — Adult & Geriatric Wholistic Health LLC's NPI (1205642915) is active in the NPPES registry as of the last update on 2024-12-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.