OrganizationActive
Holistic Individual Support Living LLC
NPI 1215744198 · Mental Illness Community Based Residential Treatment Facility · Jefferson City, MO
Provider details
- NPI number
- 1215744198
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jovin Bayingana, Ceo(207) 518-7073
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(55/100 index)
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
529 Aurora Ave
Jefferson City, MO 65101-2816
Phone: (202) 518-7073
Street-level locationGet directions
Mailing address
529 Aurora Ave
Jefferson City, MO 65101-2816
Other names (DBA / former)
- Doing business as
- Holistic
- Doing business as
- Holistic
Registry dates
- Enumerated
- 2024-12-14
- Last updated
- 2024-12-30
- Certified
- 2024-12-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.