Holland Lake Nursing Center LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

113174 Issued in TX

Legal business name

HOLLAND LAKE NURSING CENTER LTD

Practice address

1201 Holland Lake Dr
Weatherford, TX 76086-5851

Phone

(817) 598-0160

Fax

(817) 598-0162

NPI assigned

Jun 20, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Sue Hayes

Title

Director of Operations

Phone

(817) 598-0160

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669477147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 122267",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761212267",
            "telephone_number": "817-598-0160",
            "fax_number": "817-598-0162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 HOLLAND LAKE DR",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865851",
            "telephone_number": "817-598-0160",
            "fax_number": "817-598-0162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLAND LAKE NURSING CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "SUE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "817-598-0160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "113174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Ho, DO
• Diana Christine Hobbs, LVN
• Hode Internal Medicine, PLLC
• Renee Hoffman, LPC,BCBA
• Brandi Hohm
• Holland Lake SCC LLC
• David Zane Holley, DPT
• Marcia Holweger
• Brent Edgar Hood, D.C.
• Devin Hooks

• Skilled Nursing Facility in Weatherford, TX
• Providers in Weatherford, TX by specialty
• Skilled Nursing Facility in Texas

• 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.