Provider Demographics
NPI:1720765324
Name:HOLISTIC HANDS OF LIFE SOLUTIONS LLC
Entity Type:Organization
Organization Name:HOLISTIC HANDS OF LIFE SOLUTIONS LLC
Other - Org Name:HOLISTIC HANDS OF LIFE SOLUTIONS LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DEBRA
Authorized Official - Middle Name:RENITA
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:833-295-3330
Mailing Address - Street 1:1531 CRESCENT LANE
Mailing Address - Street 2:APT I
Mailing Address - City:MATTHEWS
Mailing Address - State:NC
Mailing Address - Zip Code:28105
Mailing Address - Country:US
Mailing Address - Phone:704-241-2467
Mailing Address - Fax:
Practice Address - Street 1:115 UNIONVILLE INDIAN TRAIL RD W STE A4
Practice Address - Street 2:
Practice Address - City:INDIAN TRAIL
Practice Address - State:NC
Practice Address - Zip Code:28079-5583
Practice Address - Country:US
Practice Address - Phone:833-295-3330
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-05
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care