National Provider Identifier Database

HOLISTIC HEALTHCARE SERVICES LLC
Gerontology


Contact Information

HOLISTIC HEALTHCARE SERVICES, LLC
550 KINDERKAMACK RD STE 124
ORADELL, NJ07649-1500
Phone: 201-400-7292
Fax: 866-889-7073
Website:
Specialty Taxonomy Code
* Gerontology 363LG0600X
Primary Care 363LP2300X

* Indicates primary specialty

NPI Profile & details for HOLISTIC HEALTHCARE SERVICES, LLC

NPI Number 1720523541
Legal business name
LBN
HOLISTIC HEALTHCARE SERVICES, LLC
Authorized official SANTA CRISALL - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 01/03/2017
Last updated 11/19/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • NH License #: NNO71590
  • NJ License #: NNO71590
  • NJ Medicaid: 8459908
  • NJ Other: 043608 MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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