Provider Demographics
NPI:1568661353
Name:HOLISTIC RESIDENTIAL CARE SERVICES, INC.
Entity Type:Organization
Organization Name:HOLISTIC RESIDENTIAL CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LUCAS
Authorized Official - Middle Name:
Authorized Official - Last Name:TAMBE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-453-1488
Mailing Address - Street 1:7901 CAMERON RD
Mailing Address - Street 2:BLDG 2, SUITE 250
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78754-3831
Mailing Address - Country:US
Mailing Address - Phone:512-453-1488
Mailing Address - Fax:512-451-3622
Practice Address - Street 1:7901 CAMERON RD
Practice Address - Street 2:BLDG 2, SUITE 250
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78754-3831
Practice Address - Country:US
Practice Address - Phone:512-453-1488
Practice Address - Fax:512-451-3622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-12
Last Update Date:2007-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No251C00000XAgenciesDay Training, Developmentally Disabled Services