MEDICARE: HOLISTIC HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency	12826	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619140548
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC HEALTHCARE

Provider Business Mailing Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809
Country	:	US
Telephone Number	:	255-922-7744
Fax Number	:	225-757-2298

Provider Business Practice Location Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809
Country	:	US
Telephone Number	:	255-922-7744
Fax Number	:	225-757-2298

Authorized Official
Title or Position	:	OWNER
Name	:	MR. MICHAEL ENOW
Credential	:
Telephone Number	:	470-422-0366

Provider Enumeration Date	:	04/11/2008
Last Update Date	:	12/08/2025

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Directions to “HOLISTIC HEALTHCARE ” Practice Location

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