Holly Hill Manor Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

03016 Issued in MD

Legal business name

HOLLY HILL MANOR INC.

Practice address

531 Stevenson LN
Towson, MD 21286-7607

Phone

(410) 823-5310

Fax

(410) 583-8148

NPI assigned

Jun 10, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Millard L. Cursey Jr.

Title

Administrator

Phone

(410) 823-5310

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208995200000",
    "number": "1265436810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "531 STEVENSON LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867607",
            "telephone_number": "410-823-5310",
            "fax_number": "410-583-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 STEVENSON LN",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212867607",
            "telephone_number": "410-823-5310",
            "fax_number": "410-583-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HILL MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2008-04-24",
        "status": "A",
        "authorized_official_last_name": "CURSEY",
        "authorized_official_first_name": "MILLARD",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "410-823-5310",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MD",
            "license": "03016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006204900",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186102600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica Holler
• Jennifer Lynn Hollern, LCSW-C
• Kuana N Holley, RDH
• Maria J. Holliday, M.D.
• Mary Jo Holloran, CRNP
• Holly Hill Nursing and Rehab Center LLC
• Holly Hill Nursing, LLC
• Dominique Holly
• Anne Holman, LCSW-C
• James Holman, SLP

• Skilled Nursing Facility in Towson, MD
• Providers in Towson, MD by specialty
• Skilled Nursing Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; 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.