Provider Demographics
NPI:1508526005
Name:HEALING HOLISTICALLY HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:HEALING HOLISTICALLY HOME HEALTH CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NAKABINGA
Authorized Official - Middle Name:
Authorized Official - Last Name:NAMOONDE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:763-245-9366
Mailing Address - Street 1:11872 EMERY VILLAGE DR N
Mailing Address - Street 2:
Mailing Address - City:CHAMPLIN
Mailing Address - State:MN
Mailing Address - Zip Code:55316-2490
Mailing Address - Country:US
Mailing Address - Phone:952-688-8361
Mailing Address - Fax:
Practice Address - Street 1:11872 EMERY VILLAGE DR N
Practice Address - Street 2:
Practice Address - City:CHAMPLIN
Practice Address - State:MN
Practice Address - Zip Code:55316-2490
Practice Address - Country:US
Practice Address - Phone:952-688-8361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-23
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care