Provider Demographics
NPI:1437928223
Name:J&A HOLISTIC SUPPORT CARE PROVIDER
Entity Type:Organization
Organization Name:J&A HOLISTIC SUPPORT CARE PROVIDER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:ADECK
Authorized Official - Last Name:ESINGILA
Authorized Official - Suffix:
Authorized Official - Credentials:RN BSN
Authorized Official - Phone:502-418-2257
Mailing Address - Street 1:217 TWIN PINES LN
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-7644
Mailing Address - Country:US
Mailing Address - Phone:502-418-2257
Mailing Address - Fax:
Practice Address - Street 1:6911 RICHMOND HWY # 324B
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22306-1842
Practice Address - Country:US
Practice Address - Phone:502-418-2257
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-21
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care