Holly Hills Retirement Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

043055 Issued in MO

Legal business name

HOLLY HILLS RETIREMENT HOME

Practice address

6421 Minnesota Ave
Saint Louis, MO 63111-2808

Phone

(314) 630-3543

NPI assigned

Apr 28, 2015

Organization subpart

Yes

Parent organization

MISSOURI RESIDENTIAL CARE LLCAs reported in NPPES

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

Authorized official

Name

Christopher Michael Vancil

Title

Owner

Phone

(314) 630-3543

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Holly Hills Retirement Home3 organizations share this tax ID, including this one

Part of

Holly Hills Retirement Home

Other organizations with this tax ID 2

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

• Carondelet Retirement Manor

  • Assisted Living Facility
  • Saint Louis, MO
  • NPI 1184001836
  NPD tax ID
• Missouri Residential Care LLC

  • Psychiatric Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1932369857
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Missouri Residential Care LLC

  • Psychiatric Residential Treatment Facility
  • Saint Louis, MO
  • NPI 1932369857
  NPPES parent name

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430179200000",
    "number": "1275910341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6421 MINNESOTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112808",
            "telephone_number": "314-630-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 MINNESOTA AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631112808",
            "telephone_number": "314-630-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HILLS RETIREMENT HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MISSOURI RESIDENTIAL CARE LLC",
        "enumeration_date": "2015-04-28",
        "last_updated": "2015-04-28",
        "status": "A",
        "authorized_official_last_name": "VANCIL",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-630-3543"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "043055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Holloway, ANP
• Lauren A Holloway, CPNP
• William Edward Holloway, MD
• Kathleen Hollowood, CRNA
• Lori Anne Hollrah, OTRL
• Cameo Holly
• Thomas Benjamin Holman
• Timothy Samuel Holman, PHARM.D.
• Victoria Holman, RN,ANP
• Anthony Holmes

• Assisted Living Facility in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.