Provider Demographics
NPI:1740035773
Name:HOLISTIC PLUS 2 HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:HOLISTIC PLUS 2 HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PHILLIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MASENDA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:469-793-2870
Mailing Address - Street 1:180 E LANDSTREET RD STE B
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32824-7862
Mailing Address - Country:US
Mailing Address - Phone:469-793-2870
Mailing Address - Fax:
Practice Address - Street 1:128 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32114-4310
Practice Address - Country:US
Practice Address - Phone:214-842-2710
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-22
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care