Holistic Care Residential, LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HOLISTIC CARE RESIDENTIAL, LLC

Practice address

26 Alexander Dr
Biddeford, ME 04005-9363

Phone

(207) 831-4176

NPI assigned

Mar 19, 2022

Organization subpart

No

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

Authorized official

Name

Nolasque Isirabahenda

Title

Manager

Phone

(207) 831-4176

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1647648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647648000000",
    "number": "1245989102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 ALEXANDER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059363",
            "telephone_number": "207-831-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 ALEXANDER DR",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040059363",
            "telephone_number": "207-831-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC CARE RESIDENTIAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-19",
        "last_updated": "2022-03-19",
        "certification_date": "2022-03-19",
        "status": "A",
        "authorized_official_last_name": "ISIRABAHENDA",
        "authorized_official_first_name": "NOLASQUE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "207-831-4176"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Hobson, LCPC-C
• Andrew Joseph Hodge
• Samantha Hodgins, NP
• Amy Hoffman, LMSWCC
• Molly Hogan, PA
• Shawna Lynn Holloway, LSW-C
• Brian Holmes, LMSW-CC
• Whitney Boudreau Holmes, PHARM D
• Jasmine Honey, MS, LAT, ATC, CSCS
• Devin Hoover

• Adult Care Home Facility in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Adult Care Home Facility in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.