Provider Demographics
NPI:1568805893
Name:WHOLISTIC HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:WHOLISTIC HOME HEALTH AGENCY, INC.
Other - Org Name:WHOLISTIC SERVICES, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINSTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MIATTA
Authorized Official - Middle Name:NYAHALEH
Authorized Official - Last Name:THOMAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-347-5334
Mailing Address - Street 1:1221 MASSACHUSETTS AVE NW
Mailing Address - Street 2:SUITE 1
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20005-5302
Mailing Address - Country:US
Mailing Address - Phone:202-347-5334
Mailing Address - Fax:202-347-1916
Practice Address - Street 1:11350 RANDOM HILLS RD
Practice Address - Street 2:SUITE 800
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22030-6044
Practice Address - Country:US
Practice Address - Phone:703-934-6019
Practice Address - Fax:703-591-3049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-17
Last Update Date:2013-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health