MEDICARE: HOLISTIC HEALTH SERVICES

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	HP0031500	NJ

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	:	1811013451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC HEALTH SERVICES

Provider Business Mailing Address
First Line	:	661 E 26TH ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07504-1917
Country	:	US
Telephone Number	:	973-279-3740
Fax Number	:	973-279-3327

Provider Business Practice Location Address
First Line	:	661 E 26TH ST
Second Line	:
City	:	PATERSON
State	:	NJ
Zip	:	07504-1917
Country	:	US
Telephone Number	:	973-279-3740
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	BARBARA HENRIQUES
Credential	:
Telephone Number	:	973-279-3740

Provider Enumeration Date	:	03/22/2007
Last Update Date	:	08/22/2020

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Directions to “HOLISTIC HEALTH SERVICES ” Practice Location

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