NPIMap

Organization Active NPI

Holistic Health Care Services, Inc.

  • Intellectual Disabilities Intermediate Care Facility
  • Baton Rouge, LA
National Provider Identifier
1447456140
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
PCA 12825 Issued in LA
Legal business name
HOLISTIC HEALTH CARE SERVICES, INC.
Practice address
13011 Justice Ave
Baton Rouge, LA 70816-5330
Phone
(225) 291-5038
Fax
(225) 291-2534
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Porsha Radford
Title
Director
Phone
(225) 291-5038

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X SIL 12826 LA
Intellectual Disabilities Intermediate Care Facility 315P00000X PCA 12825 LA Primary

Addresses

Primary practice location

13011 Justice Ave
Baton Rouge, LA 70816-5330

Mailing address

13011 Justice Ave
Baton Rouge, LA 70816-5330
Phone (225) 291-5038

Other identifiers 3

IdentifierTypeStateIssuer
1476587MedicaidLA
1476579MedicaidLA
1470414MedicaidLA

National Provider Directory

National Provider Directory
Tax ID family
Holistic Health Care Services Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13011 Justice Ave
Baton Rouge, LA 70816
Phone (225) 291-5038

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447456140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13011 JUSTICE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165330",
            "telephone_number": "225-291-5038",
            "fax_number": "225-291-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13011 JUSTICE AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708165330",
            "telephone_number": "225-291-5038",
            "fax_number": "225-291-2534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC HEALTH CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "PORSHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "225-291-5038",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "SIL 12826",
            "primary": false
        },
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "LA",
            "license": "PCA 12825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476587",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1476579",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1470414",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.