Healthcare Provider Details

I. General information

NPI: 1902729825
Provider Name (Legal Business Name): HOLUS CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/30/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 BELL RD STE A2038
CHAGRIN FALLS OH
44022-4255
US

IV. Provider business mailing address

1225 BELL RD STE A2038
CHAGRIN FALLS OH
44022-4255
US

V. Phone/Fax

Practice location:
  • Phone: 216-800-5499
  • Fax:
Mailing address:
  • Phone: 216-800-5499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMBER BLACK
Title or Position: OWNER
Credential: APRN
Phone: 216-800-5499