Active NPI
Hollyhomecarellc
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mount Laurel, NJ
National Provider Identifier
1679253850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.