Holy Family Memorial Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HOLY FAMILY MEMORIAL INC

Practice address

2300 Western Ave
Manitowoc, WI 54220-3712

Phone

(920) 320-3500

NPI assigned

Apr 28, 2008

Organization subpart

No

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

Authorized official

Name

Brian Graf

Title

Vice President

Phone

(920) 320-3451

Specialties & licenses 1

Addresses

Other identifiers 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Holy Family Memorial Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Holy Family Memorial Inc

  dba Froedtert Holy Family Memorial

  • Home Health Agency
  • Manitowoc, WI
  • NPI 1174629075
  NPD tax ID
• Holy Family Memorial Inc

  • Family Medicine Physician
  • Manitowoc, WI
  • NPI 1659848505
  NPD tax ID
• Holy Family Memorial, Inc

  dba Holy Family Memorial Medical Center

  • Pharmacy
  • Manitowoc, WI
  • NPI 1477676971
  NPD tax ID

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766016000000",
    "number": "1336314632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "N74W12501 LEATHERWOOD CT",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530514490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 WESTERN AVE",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542203712",
            "telephone_number": "920-320-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY FAMILY MEMORIAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2025-12-18",
        "certification_date": "2025-12-18",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "920-320-3451"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100163450",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32946000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James W Hoftiezer, M.D.
• Michael D Hoftiezer, M.D.
• Holiday House of Manitowoc County, Inc.
• Ashley Elaine Holly, R.D.
• Holy Family Memorial Inc (Froedtert Holy Family Memorial)
• Holy Family Memorial Inc
• Holy Family Memorial Inc (Froedtert Holy Family Memorial Hospital)
• Holy Family Memorial, Inc (Holy Family Memorial Medical Center)
• Homecare Health Services Inc
• Homecare Health Services Inc (Manitowoc County Community Hospice)

• Clinical Medical Laboratory in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.