Organization Active NPI

Hollyhomecare Agency

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Mount Laurel, NJ
National Provider Identifier
1265376354
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HOLLYHOMECARE AGENCY
Practice address
3223 Route 38 Ste 200
Mount Laurel, NJ 08054-9765
Phone
(856) 484-1312
NPI assigned
Apr 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Authorized official

Name
Shari Croom
Title
Ceo
Phone
(215) 221-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

3223 Route 38 Ste 200
Mount Laurel, NJ 08054-9765

Mailing address

3223 Route 38 Ste 200
Mount Laurel, NJ 08054-9765
Phone (856) 484-1312

National Provider Directory

National Provider Directory
Tax ID family
Hollyhomecare Agency2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3223 Route 38
Ste 200
Mount Laurel, NJ 08054
Phone (800) 698-5038

NPI Registry JSON

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

{
    "created_epoch": "1776384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1265376354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 ROUTE 38 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765",
            "telephone_number": "856-484-1312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 ROUTE 38 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765",
            "telephone_number": "856-484-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYHOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-17",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-221-2597"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.