Provider Demographics
NPI:1275130569
Name:HOLISTIC CARE CONNECTIONS LLC
Entity Type:Organization
Organization Name:HOLISTIC CARE CONNECTIONS LLC
Other - Org Name:HOLISTIC HOMECARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER/CO-OWNER/COFOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:RICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:646-240-4888
Mailing Address - Street 1:3632 KINGSBRIDGE AVE FL 2
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-2339
Mailing Address - Country:US
Mailing Address - Phone:646-240-4888
Mailing Address - Fax:718-601-4646
Practice Address - Street 1:3632 KINGSBRIDGE AVE FL 2
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-2339
Practice Address - Country:US
Practice Address - Phone:646-240-4888
Practice Address - Fax:718-601-4646
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-08
Last Update Date:2020-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY251J00000XOtherNYC DEPT OF CONSUMER AFFAIRS