Active NPI
Holloman's Home Care, Inc.
- Home Health Agency
- Smithfield, NC
National Provider Identifier
1285840082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- HC2431
- Legal business name
- HOLLOMAN'S HOME CARE, INC.
- Practice address
- 839A S Brightleaf Blvd
Building 2
Smithfield, NC 27577-4392 - Phone
- (919) 934-1886
- Fax
- (919) 934-1813
- NPI assigned
- May 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Kim Holloman
- Title
- Office Manager
- Phone
- (919) 934-1886
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | HC2431 | NC | Primary |
Addresses
Primary practice location
839A S Brightleaf Blvd
Building 2
Smithfield, NC 27577-4392
Mailing address
839A S Brightleaf Blvd
Building 2
Smithfield, NC 27577-4392
Phone (919) 934-1886
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6600999 | Medicaid | NC | |
| 3409632 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
839A S Brightleaf Blvd
Bldg 2
Smithfield, NC 27577
Phone (919) 934-1886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194998400000",
"number": "1285840082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "839A S BRIGHTLEAF BLVD",
"address_2": "BUILDING 2",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774392",
"telephone_number": "919-934-1886",
"fax_number": "919-934-1813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "839A S BRIGHTLEAF BLVD",
"address_2": "BUILDING 2",
"city": "SMITHFIELD",
"state": "NC",
"postal_code": "275774392",
"telephone_number": "919-934-1886",
"fax_number": "919-934-1813"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLLOMAN'S HOME CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-16",
"last_updated": "2007-11-14",
"status": "A",
"authorized_official_last_name": "HOLLOMAN",
"authorized_official_first_name": "KIM",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "919-934-1886",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NC",
"license": "HC2431",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6600999",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3409632",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Smithfield, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.