Provider Demographics
NPI:1114728482
Name:HOLISTICMED HEALTHCARE LLC
Entity type:Organization
Organization Name:HOLISTICMED HEALTHCARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NGOZI
Authorized Official - Middle Name:AUGUSTINA
Authorized Official - Last Name:ONWUOCHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-297-9929
Mailing Address - Street 1:16762 QUAIL RUN DR
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77489-5341
Mailing Address - Country:US
Mailing Address - Phone:346-297-9929
Mailing Address - Fax:
Practice Address - Street 1:16762 QUAIL RUN DR
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77489-5341
Practice Address - Country:US
Practice Address - Phone:346-297-9929
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-22
Last Update Date:2025-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health