Provider Demographics
NPI:1356611040
Name:WHOLISTIC APPROACH HOME HEALTH SERVICES, LLC
Entity type:Organization
Organization Name:WHOLISTIC APPROACH HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:LEWIS
Authorized Official - Middle Name:
Authorized Official - Last Name:DUHART
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:773-891-5273
Mailing Address - Street 1:400 W 76TH ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60620-1640
Mailing Address - Country:US
Mailing Address - Phone:773-891-5273
Mailing Address - Fax:773-891-5726
Practice Address - Street 1:400 W 76TH ST
Practice Address - Street 2:SUITE 301
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60620-1640
Practice Address - Country:US
Practice Address - Phone:773-891-5273
Practice Address - Fax:773-891-5726
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-11
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1011539251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health