Holly Lane Rehabilitation and Healthcare Center, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

APPLIED FOR Issued in ID

Legal business name

HOLLY LANE REHABILITATION AND HEALTHCARE CENTER, LLC

Practice address

2105 12TH Ave Rd
Nampa, ID 83686-6312

Phone

(208) 467-5721

Fax

(208) 467-2748

NPI assigned

Mar 31, 2009

Last updated

Jul 11, 2016By the provider in NPPES

Organization subpart

Yes

Parent organization

ORIANNA HEALTH SYSTEMS, LLCAs reported in NPPES

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

Authorized official

Name

Craig E Robinson

Title

President

Phone

(901) 937-7994

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468195200000",
    "number": "1053553461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866312",
            "telephone_number": "208-467-5721",
            "fax_number": "208-467-2748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 12TH AVE RD",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836866312",
            "telephone_number": "208-467-5721",
            "fax_number": "208-467-2748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY LANE REHABILITATION AND HEALTHCARE CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ORIANNA HEALTH SYSTEMS, LLC",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-07-11",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "901-937-7994"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "ID",
            "license": "APPLIED FOR",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathy Lynn Hohenbrink, R.D,,L.D.,DC.D.E.
• Shauni Holcomb, M.S., CF-SLP
• Holistic Healthcare LLC.
• Keith G Holley, MD
• Tyler James Holloway, OTR/L
• Sydney K Holmes, DO
• Wendi Holmes, CNM
• Rebecca Lynn Holmstead, LM, CPM
• Bradley Warren Holt, MSW, LMSW
• Home Again Icf

• Skilled Nursing Facility in Nampa, ID
• Providers in Nampa, ID by specialty
• Skilled Nursing Facility in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2016; 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.