LARRY BERNARD HOLLOWAY (NPI# 1023304441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023304441 |
Entity Type | Individual |
Full Name | LARRY BERNARD HOLLOWAY |
Credential | PROBATION OFFICER 2 |
Practice Address |
12310 Lower Azusa Rd Arcadia CA 91006-5872 |
Practice Telephone | 6265798593 |
Practice Fax Number | 6264331029 |
Mailing Telephone | 6265798506 |
Mailing Fax Number | 6264331029 |
Enumeration Date | 2011-06-23 |
Last Update Date | 2011-06-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251B00000X | Case Management | Agencies |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | PROBATION | 876543100 | 01 |
CA | PROBATION | 171M00000X | 01 |
Street Address |
12310 LOWER AZUSA RD |
City | ARCADIA |
State | CA |
Zip Code | 91006-5872 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306148812 | La Tesia Wilson | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2010-12-03 |
1972897379 | Diego Robles | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-06-02 |
1568753077 | Solender S Kim | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-05-02 |
1265723902 | Michael John Reich | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-04-28 |
1174813869 | Jesse Roberson | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-04-14 |
1548550247 | Gerardo Nevarez | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-04-14 |
1376832295 | Richard Stephen Thomas | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-03-31 |
1942599113 | Armando Dennis Medina | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-03-28 |
1912206681 | Los County Probation | Case Management | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-03-21 |
1265731962 | Michael E Rayfield | Case Manager/Care Coordinator | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-03-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225510696 | Sheri Shanese Calhoun | Social Worker | 330 E. Live Oak Avenue, Arcadia, CA 91006 | 2018-09-03 |
1083129639 | Song Han | Acupuncturist | 14 El Dorado Street, Suite 15, Arcadia, CA 91006 | 2017-12-05 |
1154842177 | Cathleen Noel Walsh | Nurse Practitioner | 815 E. Longden Ave, Arcadia, CA 91006 | 2017-06-29 |
1881146512 | Mitchell Gee | Pharmacist | 2124 Highland Oaks Dr, Arcadia, CA 91006 | 2016-10-28 |
1487003059 | Michael Stewart | Case Manager/Care Coordinator | 800 S. Santa Anita Ave., Arcadia, CA 91006 | 2016-06-06 |
1639525983 | Alex Yu | Chiropractor | 202 S. First Ave, Arcadia, CA 91006 | 2016-05-05 |
1447637731 | Angel Care Hospice of Arcadia, Inc. | Respite Care | 4115 E Live Oak Ave, Arcadia, CA 91006 | 2015-05-06 |
1588050678 | Joel Lim | Internal Medicine | 440 E Huntington Dr Ste 200, Arcadia, CA 91006 | 2015-04-15 |
1427497981 | White Wings Hospice Inc | Hospice Care, Community Based | 333 N Santa Anita Ave Ste 5, Arcadia, CA 91006 | 2013-06-18 |
1649511551 | Margaret Lihani | Social Worker | 41 E. Foothill Blvd., Suite 200-a, Arcadia, CA 91006 | 2013-03-04 |
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Taxonomy Code | 251B00000X |
Grouping | Agencies |
Classification | Case Management |
An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174813299 | 12310 Lower Azusa Rd | Case Management | 12310 Lower Azusa Ave, Arcadia, CA 91006 | 2011-04-11 |
1861781494 | La County Probation | Case Management | 12310 Lower Rd, Arcadia, CA 91006 | 2011-04-05 |
1912106428 | Total Choice Case Management Services Inc | Case Management | 1779 Daniel St Ste D, Arcadia, LA 71001-3055 | 2007-07-13 |
1912206681 | Los County Probation | Case Management | 12310 Lower Azusa Rd, Arcadia, CA 91006-5872 | 2011-03-21 |
1093914418 | Total Choice Case Management Services LLC | Case Management | 1779 Daniel St Ste D, Arcadia, LA 71001-3055 | 2007-07-16 |
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1104442805 | Tanya &steve Professional Services Inc | Case Management | 11123 Lemay St, North Hollywood, CA 91606-2008 | 2020-06-18 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.