=====================================================
General NPI Number Information
=====================================================
NPI Number | 1154293496
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HABITGARDEN LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/17/2025
-----------------------------------------------------
Last Update Date | 09/17/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1150 LINDSTROM DR
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80911-3806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-270-0175
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1150 LINDSTROM DR
-----------------------------------------------------
City | COLORADO SPRINGS
-----------------------------------------------------
State | CO
-----------------------------------------------------
Zip | 80911-3806
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 719-270-0175
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | HOLISTIC HEALTH COACH
-----------------------------------------------------
Name | DANIELLE REMLEY
-----------------------------------------------------
Credential | RN
-----------------------------------------------------
Telephone | 719-270-0175
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251J00000X
-----------------------------------------------------
Taxonomy Name | Nursing Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------