Daffeney Hollis, CNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

CN0000022932 Issued in GA

Practice address

1205 Leverett Rd Apt 1204
Warner Robins, GA 31088-0332

Phone

(478) 662-8285

NPI assigned

May 16, 2019

Last updated

May 16, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1588220404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8495",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310958495",
            "telephone_number": "478-662-8285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 LEVERETT RD APT 1204",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310880332",
            "telephone_number": "478-662-8285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 Arrowhead Trl",
            "address_purpose": "LOCATION",
            "city": "Warner Robins",
            "state": "GA",
            "postal_code": "310885336",
            "country_code": "US",
            "telephone_number": "478-662-8285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "DAFFENEY",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-16",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0000022932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Holcom
• Roselle Louise Holcombe, LPC
• Rebecca Marie Holdgrave, LMFT, NCACI
• Jennifer Holland, NP
• Louwana L. Hollar, NP-C
• Elizabeth Holloway
• C Curtis Holmes, PHD
• Jacqueline Elaine Holmes, LDO
• Home Sweet Homecare Inc
• Homestead Hospice of Central Georgia, LLC (Eternal Faith Hospice and Palliative Care)

• Nurse's Aide in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Nurse's Aide in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.