Holloway Home Care Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HOLLOWAY HOME CARE INC.

Doing business as

HomeWell Care Services

Practice address

36 Mill Plain Rd Ste 310
Danbury, CT 06811-5114

Phone

(914) 325-7197

NPI assigned

Apr 3, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Deric Lecharles Holloway, COTANPI 1942732540

Title

Owner/ Ceo

Phone

(914) 325-7197

Specialties & licenses 1

Addresses

Other names 1

• HomeWell Care Services Doing business as

Locations

Practitioners 1

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

• Deric Lecharles Holloway, COTA/L

  • Occupational Therapy Assistant
  • Brewster, NY
  • NPI 1942732540
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1427800382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 512",
            "city": "BREWSTER",
            "state": "NY",
            "postal_code": "105090512",
            "telephone_number": "914-325-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MILL PLAIN RD STE 310",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068115114",
            "telephone_number": "914-325-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLOWAY HOME CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DERIC",
        "authorized_official_middle_name": "LECHARLES",
        "authorized_official_title_or_position": "OWNER/ CEO",
        "authorized_official_telephone_number": "914-325-7197",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "COTA"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HomeWell Care Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robyn A Hoffman, APRN
• Cooper Wesley Holbrook
• Holistic Counseling of Greater Danbury LLC
• Patricia Ann Holland, PT
• Michael D Hollander, MD
• Susan Julie Holms, MSW LCSW
• Ruth N Holt
• Home Care Advantage, LLC
• Heather Kathleen Hopkins, MA, OTR-L
• Tanesha Hopson, MFT-A

• In Home Supportive Care Agency in Danbury, CT
• Providers in Danbury, CT by specialty
• In Home Supportive Care Agency in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.