Holbrook Nursing Home, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

76 Issued in WV

Legal business name

HOLBROOK NURSING HOME, INC.

Practice address

346 S Florida St
Buckhannon, WV 26201-2452

Phone

(304) 472-3280

Fax

(304) 472-6805

NPI assigned

Jul 18, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Holly Laine Hitt

Title

Administration

Phone

(304) 472-3280

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437158904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 S FLORIDA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012452",
            "telephone_number": "304-472-3280",
            "fax_number": "304-472-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 S FLORIDA ST",
            "city": "BUCKHANNON",
            "state": "WV",
            "postal_code": "262012452",
            "telephone_number": "304-472-3280",
            "fax_number": "304-472-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLBROOK NURSING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HITT",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "LAINE",
        "authorized_official_title_or_position": "ADMINISTRATION",
        "authorized_official_telephone_number": "304-472-3280",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WV",
            "license": "76",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0003770000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Hinkle
• Kathryn Stacie Hinkle
• Mary Beth Hinkle, D.D.S.
• Olivia Hite
• Holbrook Leasing Co LLC
• Holbrook SNF LLC
• Velenda Holcomb
• Shelbi Holloman, ATC
• Lisa Holsey
• Home Base Inc Mdgrp

• Skilled Nursing Facility in Buckhannon, WV
• Providers in Buckhannon, WV by specialty
• Skilled Nursing Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.