Active NPI
Holly Services, Inc.
- In Home Supportive Care Agency
- El Monte, CA
National Provider Identifier
1609635820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.