Organization Active NPI

Holistic Home Care LLC

  • In Home Supportive Care Agency
  • La Crosse, WI
National Provider Identifier
1316412497
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOLISTIC HOME CARE LLC
Practice address
2711 South Ave Ste 2
La Crosse, WI 54601-6449
Phone
(608) 385-5803
Fax
(608) 519-1701
NPI assigned
Oct 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Authorized official

Name
Lee VueNPI 1528543154
Title
Owner
Phone
(608) 385-5803

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)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

2711 South Ave Ste 2
La Crosse, WI 54601-6449

Mailing address

2412 14TH St S
La Crosse, WI 54601-6317
Phone (608) 385-5803

Other identifiers 1

IdentifierTypeStateIssuer
100078381MedicaidWI

National Provider Directory

National Provider Directory

Locations

2711 South Ave
Ste 2
La Crosse, WI 54601
Phone (608) 385-5803

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1538611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1316412497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 14TH ST S",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016317",
            "telephone_number": "608-385-5803",
            "fax_number": "608-519-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2711 SOUTH AVE STE 2",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546016449",
            "telephone_number": "608-385-5803",
            "fax_number": "608-519-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-04",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "VUE",
        "authorized_official_first_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "608-385-5803"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100078381",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.