Organization Active NPI

Hollyhomecarellc

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Laurel, NJ
National Provider Identifier
1679253850
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HOLLYHOMECARELLC
Practice address
3223 Route 38 Ste 200
Mount Laurel, NJ 08054-9765
Phone
(800) 698-5038
NPI assigned
Jul 21, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Shari Nicole Croom
Title
Owner
Phone
(215) 221-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

3223 Route 38 Ste 200
Mount Laurel, NJ 08054-9765

Mailing address

3221 Route Ste 200
Mount Laurel, PA 08054
Phone (180) 698-5038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1679253850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 ROUTE STE 200",
            "city": "MOUNT LAUREL",
            "state": "PA",
            "postal_code": "08054",
            "telephone_number": "180-698-5038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 ROUTE 38 STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "080549765",
            "telephone_number": "800-698-5038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYHOMECARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-221-2597"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.