Provider Demographics
NPI:1376136184
Name:HOLISTIC APPROACH SERVICES
Entity type:Organization
Organization Name:HOLISTIC APPROACH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-623-5598
Mailing Address - Street 1:827 PASADENA AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44502-2253
Mailing Address - Country:US
Mailing Address - Phone:844-280-2610
Mailing Address - Fax:
Practice Address - Street 1:827 PASADENA AVE
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44502-2253
Practice Address - Country:US
Practice Address - Phone:844-280-2610
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH202103701432Medicaid