Provider Demographics
NPI:1770925299
Name:HOLISTIC NURSING GROUP
Entity type:Organization
Organization Name:HOLISTIC NURSING GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:ERLINA
Authorized Official - Middle Name:KEARSE
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:877-262-0268
Mailing Address - Street 1:2618 BATTLEGROUND AVE STE A
Mailing Address - Street 2:UNIT 176
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27408-1925
Mailing Address - Country:US
Mailing Address - Phone:877-262-0268
Mailing Address - Fax:
Practice Address - Street 1:620 S ELM ST
Practice Address - Street 2:UNIT 328
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27406-1370
Practice Address - Country:US
Practice Address - Phone:877-262-0268
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-25
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC269003251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health