Provider Demographics
NPI:1669719738
Name:HOLISTIC CARE AT HOME INC.
Entity type:Organization
Organization Name:HOLISTIC CARE AT HOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:ZENAIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:PENETRANTE
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:510-530-5000
Mailing Address - Street 1:5707 REDWOOD RD
Mailing Address - Street 2:SUITE 2
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94619-2400
Mailing Address - Country:US
Mailing Address - Phone:510-530-5000
Mailing Address - Fax:510-530-5088
Practice Address - Street 1:5707 REDWOOD RD
Practice Address - Street 2:SUITE 2
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619-2400
Practice Address - Country:US
Practice Address - Phone:510-530-5000
Practice Address - Fax:510-530-5088
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-10
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550002402251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA03469806OtherEDD
CA03469806OtherEDD