MEDICARE: HOLISTIC HEALTH CARE SERVICES. INC

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	253Z00000X	In Home Supportive Care Agency	2203781762	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	:	1730610205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC HEALTH CARE SERVICES. INC

Provider Business Mailing Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:	225-922-7744
Fax Number	:	225-922-7743

Provider Business Practice Location Address
First Line	:	8732 QUARTERS LAKE RD
Second Line	:
City	:	BATON ROUGE
State	:	LA
Zip	:	70809-2174
Country	:	US
Telephone Number	:	225-922-7744
Fax Number	:	225-922-7743

Authorized Official
Title or Position	:	CEO
Name	:	MR. MICHAEL ENOW
Credential	:
Telephone Number	:	225-922-7744

Provider Enumeration Date	:	03/25/2017
Last Update Date	:	03/25/2017

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