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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 Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for HOLISTIC HEALTHCARE SERVICES, LLC

NPI # 1720523541
LBN Legal business name HOLISTIC HEALTHCARE SERVICES, LLC
Authorized official SANTA CRISALL - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/03/2017
Last updated 11/19/2023 - About 3 years ago
Identifiers
NH License # NNO71590
NJ License # NNO71590
NJ Medicaid 8459908
NJ Other 043608 MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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