Holiday Healthcare, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

N056007 Issued in KS

Legal business name

HOLIDAY HEALTHCARE, LLC

Practice address

2700 W 30TH Ave
Emporia, KS 66801-9100

Phone

(620) 343-9285

Fax

(620) 343-1867

NPI assigned

Jan 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Mike Shane Kerbs, LICENSED ADMIN.

Title

Administrator

Phone

(620) 343-9285

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Holiday Resort Doing business as

Practitioners 1

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

• Cy K Anderson, MD

  • Internal Medicine Physician
  • Emporia, KS
  • NPI 1588632590
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1659342301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W 30TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019100",
            "telephone_number": "620-343-9285",
            "fax_number": "620-343-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 30TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019100",
            "telephone_number": "620-343-9285",
            "fax_number": "620-343-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-31",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "KERBS",
        "authorized_official_first_name": "MIKE",
        "authorized_official_middle_name": "SHANE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "620-343-9285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICENSED ADMIN."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "KS",
            "license": "N056007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100108180A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OSCAR",
            "identifier": "175173",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holiday Resort",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hill'S Apothecary Inc
• Hill'S Apothecary, Inc.
• Hillcrest House
• Hills Apothecary Compounding LLC
• Louise Joyce Hinrichs
• Holiday Resort Emporia LLC
• Holistic Therapy
• Heath R Holliday, OD
• Tricia L Holliday, OD
• Home Care Specialists

• Skilled Nursing Facility in Emporia, KS
• Providers in Emporia, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; 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.