Provider Demographics
NPI:1720276496
Name:HOLISTIC CARE HOME HEALTH AGENCY, INC.
Entity Type:Organization
Organization Name:HOLISTIC CARE HOME HEALTH AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIZA
Authorized Official - Middle Name:
Authorized Official - Last Name:FIERRO-CALDERON
Authorized Official - Suffix:
Authorized Official - Credentials:BSN; RN
Authorized Official - Phone:915-855-2627
Mailing Address - Street 1:11351 JAMES WATT DR BLDG B
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79936-6627
Mailing Address - Country:US
Mailing Address - Phone:915-855-2627
Mailing Address - Fax:915-857-7383
Practice Address - Street 1:11351 JAMES WATT DR BLDG B
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79936
Practice Address - Country:US
Practice Address - Phone:915-855-2627
Practice Address - Fax:915-857-7383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX011759251E00000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No251E00000XAgenciesHome HealthGroup - Multi-Specialty