Provider Demographics
NPI:1164133666
Name:HOLISTIC HOME HEALTH & COMMUNITY SERVICES
Entity Type:Organization
Organization Name:HOLISTIC HOME HEALTH & COMMUNITY SERVICES
Other - Org Name:HHH CARE
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLE PROP.
Authorized Official - Prefix:
Authorized Official - First Name:BRIONA
Authorized Official - Middle Name:L
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-707-1053
Mailing Address - Street 1:3750 HIMEBAUGH AVE
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111-1553
Mailing Address - Country:US
Mailing Address - Phone:402-707-1053
Mailing Address - Fax:
Practice Address - Street 1:3750 HIMEBAUGH AVE
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-1553
Practice Address - Country:US
Practice Address - Phone:402-707-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health