Provider Demographics
NPI:1649607359
Name:HOLCARE LLC
Entity type:Organization
Organization Name:HOLCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MARC
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOWSKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-453-0543
Mailing Address - Street 1:1905 22ND RD
Mailing Address - Street 2:APT 36
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11105-3655
Mailing Address - Country:US
Mailing Address - Phone:917-453-0543
Mailing Address - Fax:
Practice Address - Street 1:1905 22ND RD
Practice Address - Street 2:APT 36
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11105-3655
Practice Address - Country:US
Practice Address - Phone:917-453-0543
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-26
Last Update Date:2013-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX011106-1320700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320700000XResidential Treatment FacilitiesResidential Treatment Facility, Physical Disabilities