Provider Demographics
NPI:1780851311
Name:HOLISTIC HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:HOLISTIC HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:FREIDA
Authorized Official - Middle Name:B
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:RN FNP MPH
Authorized Official - Phone:504-712-9954
Mailing Address - Street 1:12598 RIVER RD
Mailing Address - Street 2:
Mailing Address - City:DESTREHAN
Mailing Address - State:LA
Mailing Address - Zip Code:70047-5305
Mailing Address - Country:US
Mailing Address - Phone:504-712-9954
Mailing Address - Fax:985-725-2431
Practice Address - Street 1:12598 RIVER RD
Practice Address - Street 2:
Practice Address - City:DESTREHAN
Practice Address - State:LA
Practice Address - Zip Code:70047-5305
Practice Address - Country:US
Practice Address - Phone:504-712-9954
Practice Address - Fax:985-725-2431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-13
Last Update Date:2008-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA1462179251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1612511Medicaid
LA1462179Medicaid