Organization Active NPI

Holly Health Services, Inc.

Doing business as Holly Health Services

  • Personal Care Attendant
  • Houston, TX
National Provider Identifier
1295079523
Registry record updated Nov 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
013846 Issued in TX
Legal business name
HOLLY HEALTH SERVICES, INC.
Doing business as
Holly Health Services
Practice address
16418 Lancaster Place Dr
Houston, TX 77083-5238
Phone
(281) 796-9536
Fax
(281) 277-0447
NPI assigned
Nov 27, 2012
Organization subpart
Yes
Parent organization
HOLLY HEALTH SERVICES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 27, 2012

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

Authorized official

Name
Mrs. Florence James AmaechiNPI 1851691562
Title
Administrator
Phone
(281) 796-9536

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X 013846 TX Primary

Addresses

Primary practice location

16418 Lancaster Place Dr
Houston, TX 77083-5238

Mailing address

16418 Lancaster Place Dr
Houston, TX 77083-5238
Phone (281) 796-9536

Other identifiers 2

IdentifierTypeStateIssuer
001020246MedicaidTX
001020246OtherTXTPI

Other names 1

  • HOLLY HEALTH SERVICES Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353974400000",
    "number": "1295079523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16418 LANCASTER PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835238",
            "telephone_number": "281-796-9536",
            "fax_number": "281-277-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16418 LANCASTER PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770835238",
            "telephone_number": "281-796-9536",
            "fax_number": "281-277-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HEALTH SERVICES, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLLY HEALTH SERVICES, INC.",
        "enumeration_date": "2012-11-27",
        "last_updated": "2012-11-27",
        "status": "A",
        "authorized_official_last_name": "AMAECHI",
        "authorized_official_first_name": "FLORENCE",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-796-9536",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": "TX",
            "license": "013846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001020246",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "001020246",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOLLY HEALTH SERVICES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2012; 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.