Provider Demographics
NPI:1336711183
Name:HOLISTIC HOME HEALTH CARE SERVICES LLC
Entity Type:Organization
Organization Name:HOLISTIC HOME HEALTH CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUK
Authorized Official - Middle Name:PRASAD
Authorized Official - Last Name:RAI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-272-0264
Mailing Address - Street 1:7313 GOOD LUCK RD
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3342
Mailing Address - Country:US
Mailing Address - Phone:301-272-0264
Mailing Address - Fax:
Practice Address - Street 1:7313 GOOD LUCK RD
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3342
Practice Address - Country:US
Practice Address - Phone:301-272-0264
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care