MEDICARE: LOTUSHOLISTICHEALTHCARES

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	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1578440749
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOTUSHOLISTICHEALTHCARES

Provider Business Mailing Address
First Line	:	22424 S ELLSWORTH LOOP RD UNIT 104
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7032
Country	:	US
Telephone Number	:	602-707-6582
Fax Number	:

Provider Business Practice Location Address
First Line	:	22424 S ELLSWORTH LOOP RD UNIT 104
Second Line	:
City	:	QUEEN CREEK
State	:	AZ
Zip	:	85142-7032
Country	:	US
Telephone Number	:	602-860-6319
Fax Number	:

Authorized Official
Title or Position	:	CFO
Name	:	TITILAYO RAJI
Credential	:
Telephone Number	:	602-707-6582

Provider Enumeration Date	:	08/19/2025
Last Update Date	:	12/11/2025

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Directions to “LOTUSHOLISTICHEALTHCARES ” Practice Location

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