Holly Hill RHF Housing, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

SNF1052096 Issued in FL

Legal business name

HOLLY HILL RHF HOUSING, INC

Practice address

900 Lpga Blvd
Holly Hill, FL 32117-3113

Phone

(386) 226-9000

Fax

(386) 257-5069

NPI assigned

Jun 14, 2005

Organization subpart

No

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

Authorized official

Name

Stuart Hartman

Title

V.P. of Operations

Phone

(562) 257-5100

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• BISHOP'S GLEN RETIREMENT CENTER Doing business as

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232496000000",
    "number": "1407851785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LPGA BLVD",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173113",
            "telephone_number": "386-226-9000",
            "fax_number": "386-257-5069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LPGA BLVD",
            "city": "HOLLY HILL",
            "state": "FL",
            "postal_code": "321173113",
            "telephone_number": "386-226-9000",
            "fax_number": "386-257-5069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HILL RHF HOUSING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-01-21",
        "status": "A",
        "authorized_official_last_name": "HARTMAN",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "V.P. OF OPERATIONS",
        "authorized_official_telephone_number": "562-257-5100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "SNF1052096",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020951100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BX/BS OF FL",
            "identifier": "N68",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BISHOP'S GLEN RETIREMENT CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heusner Social Solutions, LLC
• James M Hill
• Thomas Hill, PHARMD
• Noel Bryant Hoeck, PT
• Phyllis W Hollandsworth, LMFT
• Corey Hucka, PHARMD
• Sheryl Gwen Josephson, PTA
• Randy Kautz, RPH
• Tavon Kellman
• Jonah Kobelin, PHARMD, RPH, CPH

• Skilled Nursing Facility in Holly Hill, FL
• Providers in Holly Hill, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.