Organization Active NPI

Holloman Care CDS LLC

  • Home Health Agency
  • Springfield, MO
National Provider Identifier
1043780943
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLLOMAN CARE CDS LLC
Practice address
3440 W Division St Ste I
Springfield, MO 65802-1187
Phone
(417) 413-6303
NPI assigned
Dec 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lori Holloman
Title
Owner
Phone
(417) 413-6393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3440 W Division St Ste I
Springfield, MO 65802-1187

Mailing address

3440 W Division St Ste I
Springfield, MO 65802-1187
Phone (417) 413-6303

National Provider Directory

National Provider Directory

Locations

3440 W Division St
Ste I
Springfield, MO 65802
Phone (417) 413-6303

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543881600000",
    "number": "1043780943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 W DIVISION ST STE I",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021187",
            "telephone_number": "417-413-6303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3440 W DIVISION ST STE I",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658021187",
            "telephone_number": "417-413-6303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOMAN CARE CDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A",
        "authorized_official_last_name": "HOLLOMAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-413-6393"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.