Organization Active NPI

Holly Services, Inc.

  • In Home Supportive Care Agency
  • El Monte, CA
National Provider Identifier
1609635820
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HOLLY SERVICES, INC.
Practice address
11100 Valley Blvd Ste 340
El Monte, CA 91731-2509
Phone
(626) 333-6767
NPI assigned
Mar 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Authorized official

Name
Mr. Kan Kosugi
Title
Ceo
Phone
(626) 333-6767

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary
Adult Day Care Clinic/Center 261QA0600X

Addresses

Primary practice location

11100 Valley Blvd Ste 340
El Monte, CA 91731-2509

Mailing address

PO Box 1521
Honolulu, HI 96806-1521
Phone (626) 333-6767

Other practice location 1

707 Richards St Ste 710
Honolulu, HI 96813-4687
Phone (808) 466-3481

Other names 1

  • Holly Waonoen Adult Day Care Center Doing business as

National Provider Directory

National Provider Directory

Locations

11100 Valley Blvd
Ste 340
El Monte, CA 91731
Phone (626) 333-6767

2211 S Hacienda Blvd
Ste 101
Hacienda Heights, CA 91745

707 Richards St
Ste 710
Honolulu, HI 96813
Phone (808) 466-3481

NPI Registry JSON

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

{
    "created_epoch": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766448000000",
    "number": "1609635820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1521",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968061521",
            "telephone_number": "626-333-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 VALLEY BLVD STE 340",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312509",
            "telephone_number": "626-333-6767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 Richards St Ste 710",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968134687",
            "country_code": "US",
            "telephone_number": "808-466-3481",
            "fax_number": "808-466-3481",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOLLY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A",
        "authorized_official_last_name": "KOSUGI",
        "authorized_official_first_name": "KAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-333-6767",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Waonoen Adult Day Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.