Healthcare Provider Details

I. General information

NPI: 1336001007
Provider Name (Legal Business Name): HOLISTIC HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 IRONWOOD CT APT 193
BELLEVUE NE
68005-4773
US

IV. Provider business mailing address

1101 IRONWOOD CT APT 193
BELLEVUE NE
68005-4773
US

V. Phone/Fax

Practice location:
  • Phone: 402-575-8761
  • Fax: 402-575-8761
Mailing address:
  • Phone: 402-575-8761
  • Fax: 402-575-8761

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: BRENDA ANDREWS
Title or Position: OWNER/PROVIDER
Credential:
Phone: 402-575-8761