HOLLY HOUSE LTD (NPI# 1528360211) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528360211 |
| Entity Type | Organization |
| Organization Name | HOLLY HOUSE LTD |
| Practice Address |
100 Ridgeview Rd Eureka Springs AR 72632-9358 |
| Practice Telephone | 4792539800 |
| Mailing Telephone | 4792539800 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MARION K CLARK (OWNER/OPERATOR) |
| Authorized Official Telephone | 4792539800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | 045 | AR | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 183621794 | 05 |
| Street Address |
100 RIDGEVIEW RD |
| City | EUREKA SPRINGS |
| State | AR |
| Zip Code | 72632-9358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104948637 | Community and Governmental Consultants Inc | Assisted Living Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2007-04-04 |
| 1548435563 | Community and Governmental Consultants Inc. | Custodial Care Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2008-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932758349 | Rebecca S. Paul | Technician | 588 County Road 1486, Eureka Springs, AR 72632 | 2019-09-09 |
| 1134479272 | Jennifer A Henderson | Nurse Practitioner | 146 Passion Play Road, Eureka Springs, AR 72632 | 2012-09-17 |
| 1689969347 | Sherri Rae Plumlee | Technician/Technologist | 147 Greenwood Hollow, Eureka Springs, AR 72632 | 2011-06-10 |
| 1205084746 | Adam Marinus Louderback | Counselor | 107 Whispering Pines, Eureka Springs, AR 72632 | 2008-09-08 |
| 1043416373 | Christopher Stephen Baranyk | Family Medicine | 4052 E Vanburen, Ste A, Eureka Springs, AR 72632 | 2007-06-24 |
| 1609932656 | Jan Marie Quint | Chiropractor | 174 Huntsville Rd, Eureka Springs, AR 72632 | 2006-12-27 |
| 1386676781 | Tree of Life Chiropractic Inc | Chiropractor | 174 Huntsville Road, Eureka Springs, AR 72632 | 2006-07-07 |
| 1699702969 | Craig P Dinger | Family Medicine | 146 A Passion Play Road, Eureka Springs, AR 72632 | 2006-06-26 |
| 1184660532 | Debra L. Reid | Social Worker | 149 Huntsville Road, Suite B, Eureka Springs, AR 72632 | 2006-06-22 |
| 1437102662 | Washington Regional Medical System | Family Medicine | 146 A Passion Play Rd, Eureka Springs, AR 72632 | 2006-05-18 |
| Find all providers in zip 72632 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104948637 | Community and Governmental Consultants Inc | Assisted Living Facility | 100 Ridgeview Rd, Eureka Springs, AR 72632-9358 | 2007-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518517127 | Peachtree Village, LLC | Assisted Living Facility | 1500 Fresno St, Fort Smith, AR 72901-7023 | 2019-09-16 |
| 1427539600 | Peachtree Village of Farmington, LLC | Assisted Living Facility | 55 W Rainsong St, Farmington, AR 72730-8635 | 2018-08-24 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
| 1750897039 | Green Acre Easy Lliving | Assisted Living Facility | 2407 W Oak St, Rogers, AR 72758-3943 | 2017-12-21 |
| 1962912626 | Lincolin Co Assisted Living | Assisted Living Facility | 142 Teva Dr, Star City, AR 71667-4253 | 2017-10-09 |
| 1043743768 | Peachtree Village At Holiday Island | Assisted Living Facility | 5 Park Dr, Holiday Island, AR 72631-9388 | 2017-04-10 |
| 1740645456 | Providence PCc of Springdale | Assisted Living Facility | 2175 Orchard St, Springdale, AR 72764-6357 | 2015-12-22 |
| 1649640236 | The Evangelical Lutheran Good Samaritan Society | Assisted Living Facility | 200 Good Samaritan Dr, Mountain Home, AR 72653-9325 | 2015-09-25 |
| 1427444124 | Holiday Island Operations, LLC | Assisted Living Facility | 89 Hillside Drive, Holiday Island, AR 72631 | 2015-04-09 |
| Find all providers with the same taxonomy | ||||
| City | EUREKA SPRINGS |
| Zip Code | 72632 |
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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.