Organization Active NPI

Holloman's Home Care, Inc.

  • Home Health Agency
  • Smithfield, NC
National Provider Identifier
1285840082
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC2431 Issued in NC
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

Updated by the provider on Nov 14, 2007

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6600999MedicaidNC
3409632MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.