Provider Demographics
NPI:1265215404
Name:HOLMES HEALTH CARE
Entity type:Organization
Organization Name:HOLMES HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INDEPENDENT PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:RAKEA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-330-2868
Mailing Address - Street 1:563 5TH STREET LN APT A
Mailing Address - Street 2:
Mailing Address - City:BARBERTON
Mailing Address - State:OH
Mailing Address - Zip Code:44203-4340
Mailing Address - Country:US
Mailing Address - Phone:330-330-2868
Mailing Address - Fax:
Practice Address - Street 1:563 5TH STREET LN APT A
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-4340
Practice Address - Country:US
Practice Address - Phone:330-330-2868
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health