Provider Demographics
NPI:1801500830
Name:HOLISTAY CARE
Entity type:Organization
Organization Name:HOLISTAY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KAMAREE
Authorized Official - Middle Name:E
Authorized Official - Last Name:AUSTIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-217-5715
Mailing Address - Street 1:1632 GARMAN RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6302
Mailing Address - Country:US
Mailing Address - Phone:330-217-5715
Mailing Address - Fax:
Practice Address - Street 1:1632 GARMAN RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6302
Practice Address - Country:US
Practice Address - Phone:330-217-5715
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-13
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health