Provider Demographics
NPI:1144097148
Name:HITEP HOLISTIC CARE
Entity type:Organization
Organization Name:HITEP HOLISTIC CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:CARMEN
Authorized Official - Middle Name:R
Authorized Official - Last Name:OTERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:401-442-2695
Mailing Address - Street 1:51 MANHASSETT ST
Mailing Address - Street 2:
Mailing Address - City:CRANSTON
Mailing Address - State:RI
Mailing Address - Zip Code:02910-1009
Mailing Address - Country:US
Mailing Address - Phone:401-442-2695
Mailing Address - Fax:401-785-2204
Practice Address - Street 1:51 MANHASSETT ST
Practice Address - Street 2:
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02910-1009
Practice Address - Country:US
Practice Address - Phone:401-442-2695
Practice Address - Fax:401-785-2204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health