Provider Demographics
NPI:1134764137
Name:WHOLISTIC HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:WHOLISTIC HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-952-6194
Mailing Address - Street 1:6854 S PERRY AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60621-3799
Mailing Address - Country:US
Mailing Address - Phone:773-952-6194
Mailing Address - Fax:773-952-7796
Practice Address - Street 1:6854 S PERRY AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60621-3799
Practice Address - Country:US
Practice Address - Phone:773-952-6194
Practice Address - Fax:773-952-7796
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-13
Last Update Date:2019-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health