Provider Demographics
NPI:1215794318
Name:QUALITY OF LIFE HOLISTIC CARE LLC
Entity type:Organization
Organization Name:QUALITY OF LIFE HOLISTIC CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOVOTNY
Authorized Official - Suffix:
Authorized Official - Credentials:AGPCNP
Authorized Official - Phone:210-980-4767
Mailing Address - Street 1:1209 S SAINT MARYS ST # 231
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78210-1245
Mailing Address - Country:US
Mailing Address - Phone:210-980-4767
Mailing Address - Fax:
Practice Address - Street 1:1209 S SAINT MARYS ST # 231
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78210-1245
Practice Address - Country:US
Practice Address - Phone:210-980-4767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-05
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty