Provider Demographics
NPI:1437531225
Name:HOLESOME CARE INC
Entity Type:Organization
Organization Name:HOLESOME CARE INC
Other - Org Name:VISITING ANGELS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:IRVIN
Authorized Official - Middle Name:W
Authorized Official - Last Name:HOLES
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:724-919-8125
Mailing Address - Street 1:102 N WATER ST
Mailing Address - Street 2:
Mailing Address - City:KITTANNING
Mailing Address - State:PA
Mailing Address - Zip Code:16201-1511
Mailing Address - Country:US
Mailing Address - Phone:724-919-8125
Mailing Address - Fax:
Practice Address - Street 1:102 N WATER ST
Practice Address - Street 2:
Practice Address - City:KITTANNING
Practice Address - State:PA
Practice Address - Zip Code:16201-1511
Practice Address - Country:US
Practice Address - Phone:724-919-8125
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-29
Last Update Date:2015-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA27183601251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health