# HOLISTIC HEART HOME HEALTH PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407669070
- **Authorized official:** MONIQUE LUCAS RN (CHIEF NURSING OFFICER)
- **Authorized official phone:** (980) 310-6381

## Contact information

- **Practice address:** 11 UNION ST S STE 105, CONCORD, NC 28025-5088
- **Practice address phone:** (980) 310-6381
- **Mailing address:** 10301 WINDTREE LN, CHARLOTTE, NC 28215-9019
- **Mailing address phone:** (980) 310-6381

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | Yes |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251F00000X | Home Infusion Agency | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 01/28/2025
- **Last updated:** 01/28/2025