Provider Demographics
NPI:1083650097
Name:HOLLISTIC HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:HOLLISTIC HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:I
Authorized Official - Last Name:ONOVIRAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-977-6007
Mailing Address - Street 1:2818 FERN GLEN DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75043-6103
Mailing Address - Country:US
Mailing Address - Phone:972-325-4372
Mailing Address - Fax:
Practice Address - Street 1:2818 FERN GLEN DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-6103
Practice Address - Country:US
Practice Address - Phone:972-325-4372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX677334251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health