Provider Demographics
NPI:1609946003
Name:HOLISTIC APROACH HOME HEALTHCARE AGENCY
Entity Type:Organization
Organization Name:HOLISTIC APROACH HOME HEALTHCARE AGENCY
Other - Org Name:HOLISTIC APPROACH INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:DIRECTOR OF NURSING-ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SYLVIA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MSN
Authorized Official - Phone:209-956-7050
Mailing Address - Street 1:5250 CLAREMONT AVE STE 248
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-5700
Mailing Address - Country:US
Mailing Address - Phone:209-956-7050
Mailing Address - Fax:209-956-7060
Practice Address - Street 1:5250 CLAREMONT AVE STE 248
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-5700
Practice Address - Country:US
Practice Address - Phone:209-956-7050
Practice Address - Fax:209-956-7060
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-09
Last Update Date:2021-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10000497251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAHHA07426FMedicaid
CAHHA07426FMedicaid