Provider Demographics
NPI:1457537813
Name:HOLISTIC HOME HEALTH SERVICES, LLC
Entity Type:Organization
Organization Name:HOLISTIC HOME HEALTH SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:ACQUAH
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:616-622-1250
Mailing Address - Street 1:2999 E DUBLIN GRANVILLE RD STE 206
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-4086
Mailing Address - Country:US
Mailing Address - Phone:614-794-3000
Mailing Address - Fax:614-794-3094
Practice Address - Street 1:2999 E DUBLIN GRANVILLE RD STE 206
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-4086
Practice Address - Country:US
Practice Address - Phone:614-794-3000
Practice Address - Fax:614-794-3094
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-16
Last Update Date:2008-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH200713003012251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health