Healthcare Provider Details

I. General information

NPI: 1902043862
Provider Name (Legal Business Name): HOLSMAN HEALTHCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2009
Last Update Date: 01/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

710 MILL ST H 3
BELLEVILLE NJ
07109-5318
US

IV. Provider business mailing address

710 MILL ST H 3
BELLEVILLE NJ
07109-5318
US

V. Phone/Fax

Practice location:
  • Phone: 973-759-1494
  • Fax: 973-759-0557
Mailing address:
  • Phone: 973-759-1494
  • Fax: 973-759-0557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License NumberHP0100400
License Number StateNJ

VIII. Authorized Official

Name: RICHARD S HOLSMAN
Title or Position: MANAGING DIRECTOR
Credential: PT, GCS
Phone: 973-393-5545