Carla R Holcomb
Individual provider Active NPI Assisted Living Facility · Hiller, PA
NPI 1295155604 · NPPES record last updated Apr 24, 2014
Key facts
- NPI
- 1295155604
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 310400000X (PA)
- Practice address
- 1207 First St
Hiller, PA 15444 - Phone
- (724) 912-5369
- NPI assigned
- Apr 24, 2014
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 310400000X | PA | MD | Assisted Living Facility |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La la'S Home Care LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 310400000X | PA | Yes |
Addresses
Primary practice location
1207 First St
Hiller, PA 15444
Mailing address
1207 First St
Hiller, PA 15444
Phone (724) 912-5369
Other providers in Hiller, PA
All providers in Hiller, PA · Assisted Living Facility in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 24, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.