Active NPI
Holistic Home Care LLC
- Home Health Agency
- Woodbury, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 379672
- Legal business name
- HOLISTIC HOME CARE LLC
- Practice address
- 2321 Cascade PLZ S
Woodbury, MN 55125-1606 - Phone
- (651) 283-9564
- NPI assigned
- Feb 7, 2017
- Last updated
- Feb 7, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lynda Duoseke Abagi, RN
- Title
- Ceo
- Phone
- (651) 283-9564
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 379672 | MN | Primary |
Addresses
Primary practice location
2321 Cascade PLZ S
Woodbury, MN 55125-1606
Mailing address
661 Eagle Ridge Rd
Woodbury, MN 55125-1461
Phone (651) 283-9564
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 24D2132468 | Holistic Home Care LLC | Certificate of waiver | Jun 19, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nursing Facility/Intermediate Care Facility
- Woodbury, MN
- NPI 1548703929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1486425600000",
"number": "1174061493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "661 EAGLE RIDGE RD",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251461",
"telephone_number": "651-283-9564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2321 CASCADE PLZ S",
"city": "WOODBURY",
"state": "MN",
"postal_code": "551251606",
"telephone_number": "651-283-9564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLISTIC HOME CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-07",
"status": "A",
"authorized_official_last_name": "ABAGI",
"authorized_official_first_name": "LYNDA",
"authorized_official_middle_name": "DUOSEKE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "651-283-9564",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "MN",
"license": "379672",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbury, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.