MEDICARE: HABITGARDEN LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

General Provider Information

NPI Number	:	1154293496
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HABITGARDEN LLC

Provider Business Mailing Address
First Line	:	1150 LINDSTROM DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3806
Country	:	US
Telephone Number	:	719-270-0175
Fax Number	:

Provider Business Practice Location Address
First Line	:	1150 LINDSTROM DR
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80911-3806
Country	:	US
Telephone Number	:	719-270-0175
Fax Number	:

Authorized Official
Title or Position	:	HOLISTIC HEALTH COACH
Name	:	DANIELLE REMLEY
Credential	:	RN
Telephone Number	:	719-270-0175

Provider Enumeration Date	:	09/17/2025
Last Update Date	:	09/17/2025

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