Provider Demographics
NPI:1699870667
Name:HOLISTIC NURSING CARE AGENCY,INC.
Entity type:Organization
Organization Name:HOLISTIC NURSING CARE AGENCY,INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR/DON
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAIZA
Authorized Official - Middle Name:BARBARA
Authorized Official - Last Name:LABRADA
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:305-265-9618
Mailing Address - Street 1:7400 NW 7TH ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-2942
Mailing Address - Country:US
Mailing Address - Phone:305-265-9618
Mailing Address - Fax:305-265-9659
Practice Address - Street 1:7400 NW 7TH ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33126-2942
Practice Address - Country:US
Practice Address - Phone:305-265-9618
Practice Address - Fax:305-265-9659
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health