Holistic Residential Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

HOLISTIC RESIDENTIAL CARE LLC

Practice address

12 Sweet St
Saco, ME 04072-2461

Phone

(207) 409-3307

NPI assigned

Dec 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Lambert Kaburundi

Title

Ceo

Phone

(207) 409-3307

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1194435826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 SWEET ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722461",
            "telephone_number": "207-409-3307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 SWEET ST",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040722461",
            "telephone_number": "207-409-3307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12 Sweet St",
            "address_purpose": "LOCATION",
            "city": "Saco",
            "state": "ME",
            "postal_code": "040722461",
            "country_code": "US",
            "telephone_number": "207-409-3307",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLISTIC RESIDENTIAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "KABURUNDI",
        "authorized_official_first_name": "LAMBERT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-409-3307",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin T Hinkel, M.S., LCPC, LMHC
• Jennifer D Hodgkins, LCSW
• Dwayne Hogan, LCSW
• Kelli Holben, PTA
• Elisabeth Geralyn Holdsworth, PTA, COTA/L
• Jeffrey J Holmstrom, D.O.
• Patricia Holt, GNP
• Steven R Holt, LCSW
• Jun Skyler Hong, DMD
• Abigail Hopkins, OTR/L

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Saco, ME
• Providers in Saco, ME by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.