Holly Manor Alf Il Operations LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLLY MANOR ALF IL OPERATIONS LLC

Practice address

2003 Cobb St
Farmville, VA 23901-2603

Phone

(434) 392-6106

NPI assigned

Mar 8, 2022

Last updated

Mar 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Joseph Lieberman

Title

Vice President of Cost Containment

Phone

(516) 855-5504

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1356098453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603",
            "telephone_number": "434-392-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 COBB ST",
            "city": "FARMVILLE",
            "state": "VA",
            "postal_code": "239012603",
            "telephone_number": "434-392-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY MANOR ALF IL OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "LIEBERMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "VICE PRESIDENT OF COST CONTAINMENT",
        "authorized_official_telephone_number": "516-855-5504"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Hill
• Frederick C Hill, CRNA
• Uronda Yvette Hix
• Joy J Hogg, CNM
• Norman Brooks Holden Jr., M.D
• Holly Manor SNF Operations LLC
• Holly Manor SNF Operations LLC (Holly Manor Rehab and Nursing)
• Lindsay Holman
• Melissa Kathryn Holmes, CRNA
• Home Recovery Home Health LLC (Home Recovery - Homeaid)

• Assisted Living Facility in Farmville, VA
• Providers in Farmville, VA by specialty
• Assisted Living Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.