HOLLY NURSING CARE CENTER, INC (NPI# 1669845129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669845129 |
| Entity Type | Organization |
| Organization Name | HOLLY NURSING CARE CENTER, INC |
| Other Organization Name | HOLLY NURSING CARE CENTER |
| Practice Address |
320 N 8th St Holly CO 81047 |
| Mailing Address |
Po Box 636 Holly CO 81047-0636 |
| Practice Telephone | 7195376555 |
| Practice Fax Number | 7195376366 |
| Mailing Telephone | 7195376555 |
| Mailing Fax Number | 7195376366 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | MARY KORETKE (DIRECTOR OF REIMBURSEMENT) |
| Authorized Official Telephone | 7209746278 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 020237 | CO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 05655147 | 05 | |
| CO | 4138426 | 05 |
| Other Name | Type Code |
|---|---|
| Holly Nursing Care Center | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HOLLY NURSING CARE CENTER, INC. | 320 N 8th St, Holly, CO 81047 |
| Street Address |
320 N 8TH ST |
| City | HOLLY |
| State | CO |
| Zip Code | 81047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632372 | Holly Nursing Care Center, Inc. | Skilled Nursing Facility | 320 N 8th St, Holly, CO 81047 | 2005-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172052 | Ashley Nicole Mayjoy | Nurse Practitioner | 209 South Main Street, Holly, CO 81047 | 2020-07-30 |
| 1851769756 | Elizabeth Lydon | Student in an Organized Health Care Education/Training Program | 320 North 8th St., Holly, CO 81047 | 2015-09-09 |
| 1407259617 | Tracee Nelson Yarborough | Nurse Practitioner | 410 W Colorado St, Holly, CO 81047 | 2014-10-01 |
| 1811333768 | Stanton County Hospital | Nurse Practitioner | 410 W Colorado, Holly, CO 81047 | 2013-05-20 |
| 1114195872 | Holly Fire & Ambulance District | Ambulance | 115 N 1st Ave, Holly, CO 81047 | 2008-02-15 |
| 1639367022 | Rhonda Christine Davis | Occupational Therapy Assistant | 320 8th Street, Holly, CO 81047 | 2007-10-10 |
| 1639149594 | Jacob Kyle Holdren | Chiropractor | 209 S. Main Street, Holly, CO 81047 | 2006-01-24 |
| 1932596350 | High Plains Community Health Center Incorporated | Clinic/Center | 410 West Colorado, Holly, CO 81047 | 2015-04-23 |
| 1518322924 | High Plains Community Health Center Incorporated | Pharmacy | 410 West Colorado, Holly, CO 81047-0000 | 2015-12-30 |
| 1841525276 | Stanton County Hospital | Family Medicine | 410 West Colorado, Holly, CO 81047-0219 | 2009-10-02 |
| Find all providers in zip 81047 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285632372 | Holly Nursing Care Center, Inc. | Skilled Nursing Facility | 320 N 8th St, Holly, CO 81047 | 2005-07-12 |
| 1497207427 | Mission Point Healthcare Holdings, LLC | Skilled Nursing Facility | 313 Sherwood St, Holly, MI 48442-1232 | 2016-10-25 |
| 1659760486 | Mission Point Healthcare Holdings, LLC | Skilled Nursing Facility | 313 Sherwood St, Holly, MI 48442-1232 | 2015-01-16 |
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| 1639644016 | Katherine and Charles Hover Greenhouses Inc | Skilled Nursing Facility | 1425 Belmont Dr, Longmont, CO 80503 | 2018-10-11 |
| 1043701337 | Center At Centerplace, LLC | Skilled Nursing Facility | 4356 24th Street Rd, Greeley, CO 80634-3330 | 2018-05-23 |
| 1063958338 | Longmont Tc, LLC | Skilled Nursing Facility | 1960 South Fordham St, Longmont, CO 80503 | 2017-01-11 |
| 1447793419 | Suites Fort Collins LLC | Skilled Nursing Facility | 4880 Ziegler Rd, Fort Collins, CO 80528 | 2016-11-23 |
| 1720520729 | Meghan Ricketson | Skilled Nursing Facility | 5962 W Pacific Cir, Lakewood, CO 80227-2583 | 2016-11-08 |
| Find all providers with the same taxonomy | ||||
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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.