Provider Demographics
NPI:1750198982
Name:HOLY HOME HEALTH CARE, LLC.
Entity type:Organization
Organization Name:HOLY HOME HEALTH CARE, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:TESSIGA
Authorized Official - Middle Name:
Authorized Official - Last Name:SORO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:443-379-9213
Mailing Address - Street 1:6800 LIBERTY RD APT 501
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21207
Mailing Address - Country:US
Mailing Address - Phone:443-379-9213
Mailing Address - Fax:
Practice Address - Street 1:6800 LIBERTY RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21207-5831
Practice Address - Country:US
Practice Address - Phone:443-379-9213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-11
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty