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NPI Code Detail

MEDICARE: HOLISTIC HELPERS HOME HEALTH CARE LLC

MEDICARE: HOLISTIC HELPERS HOME HEALTH CARE LLC
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
1251E00000XHome Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851803969
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOLISTIC HELPERS HOME HEALTH CARE LLC
Provider Business Mailing Address
First Line : 3570 WARRENSVILLE CENTER RD STE 210
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5226
Country : US
Telephone Number : 216-331-5014
Fax Number : 216-236-1094
Provider Business Practice Location Address
First Line : 3570 WARRENSVILLE CENTER RD STE 210
Second Line :
City : SHAKER HEIGHTS
State : OH
Zip : 44122-5226
Country : US
Telephone Number : 216-331-5014
Fax Number : 216-236-1094
Authorized Official
Title or Position : OWNER
Name : MS. ASHLEY JACKSON
Credential : RN
Telephone Number : 216-331-5014
Provider Enumeration Date : 10/30/2017
Last Update Date : 06/12/2024

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Directions to “HOLISTIC HELPERS HOME HEALTH CARE LLC ” Practice Location

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