NPIMap

Organization Active NPI

Holly Nursing Care Center, Inc.

  • Inpatient Hospice
  • Holly, CO
National Provider Identifier
1285632372
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Inpatient HospiceTaxonomy code 315D00000X
Legal business name
HOLLY NURSING CARE CENTER, INC.
Practice address
320 N 8TH St
Holly, CO 81047
Phone
(719) 537-6555
Fax
(719) 537-6366
NPI assigned
Jul 12, 2005
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Lavonda Kay Cathcart
Title
Administrator
Phone
(719) 537-6555

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0517 CO
Inpatient Hospice 315D00000X Primary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X

Addresses

Primary practice location

320 N 8TH St
Holly, CO 81047

Mailing address

PO Box 636
Holly, CO 81047-0636
Phone (719) 537-6555

Other identifiers 2

IdentifierTypeStateIssuer
05655147MedicaidCO
04138426OtherCORESPITE MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100127000705 CO Part A Provider - Skilled Nursing Facility 5092857144 Practice locations: Holly, CO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1285632372. Details of each certification follow.

Skilled nursing facility certification: CCN 065351

Legal name
HOLLY NURSING CARE CENTER, INC.
Doing business as
HOLLY NURSING CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jun 1, 1996
Last certification
Aug 28, 2024
Beds
45
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Vivage Beecan
Most recent change of ownership
Jul 1, 2024
Organization structure
CorporationProprietary
Incorporated
Oct 23, 2009 in CO
Enrollment address
320 North 8TH Street
Holly, CO 81047-0636

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holly Care CenterCCN 065351 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jun 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
4531.9 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Holly Nursing Care Center2 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.

Ownership & related parties

All disclosed owners & managing parties 6

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
John D Brammeier Individual 5% Or Greater Direct Ownership Interest Jul 1, 2017 25%
Corporate OfficerTreasurer QP Health Care Service Dec 31, 2011 18%
Amy Pierce Individual W-2 Managing EmployeeNha Jul 1, 2015 100%
Mary E Koretke Individual W-2 Managing EmployeeReimbursement Specialist Jan 7, 2010
Jay H Moskowitz Individual 5% Or Greater Direct Ownership Interest Jul 1, 2017 75%
Corporate OfficerCeo, QP Health Care Services Dec 31, 2011 82%
QP Health Care Services LLC Organization, Lakewood, CO LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2013 100%
Pinon Management, LLC Organization, Lakewood, CO LLC, Management services company, For-profit Operational/Managerial Control Jan 1, 2013 100%

Facilities with the same owner 13

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 13

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1285632372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "810470636",
            "telephone_number": "719-537-6555",
            "fax_number": "719-537-6366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 N 8TH ST",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "81047",
            "telephone_number": "719-537-6555",
            "fax_number": "719-537-6366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY NURSING CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-12",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "CATHCART",
        "authorized_official_first_name": "LAVONDA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "719-537-6555"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CO",
            "license": "0517",
            "primary": false
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05655147",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RESPITE MEDICAID",
            "identifier": "04138426",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly, CO

Sources for this page

Verify at the official NPI Registry.