Organization Active NPI

Holly Hill House, LLC

  • Skilled Nursing Facility
  • Sulphur, LA
National Provider Identifier
1699775189
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
198 Issued in LA
Legal business name
HOLLY HILL HOUSE, LLC
Practice address
100 Kingston Rd
Sulphur, LA 70663-4016
Phone
(337) 625-5843
Fax
(337) 625-3432
NPI assigned
Jul 26, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Authorized official

Name
Joseph C Tutera
Title
Manager
Phone
(816) 444-0900

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 198 LA Primary
Prosthetic/Orthotic Supplier 335E00000X 198 LA

Addresses

Primary practice location

100 Kingston Rd
Sulphur, LA 70663-4016

Mailing address

100 Kingston Rd
Sulphur, LA 70663-4016
Phone (337) 625-5843

Other identifiers 1

IdentifierTypeStateIssuer
1517038MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040423000839 LA Part A Provider - Skilled Nursing Facility 8022004084 Practice locations: Sulphur, LA

Skilled nursing facility certification: CCN 195431

Legal name
HOLLY HILL HOUSE, LLC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 1, 1997
Last certification
Apr 15, 2025
Beds
200
Ownership / control type
Corporation
Multi-facility organization
Tutera
Organization structure
LLCProprietary
Enrollment address
100 Kingston Road
Sulphur, LA 70663-4016
Nursing home name
HOLLY HILL HOUSE

Care Compare: Nursing home

Medicare Care Compare
Listed as
Holly Hill HouseCCN 195431
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 1, 1997
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
20076.0 residents per day on average
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
2Fines totaling $66,934

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D1089859Holly Hill House100 Kingston Road, Sulphur, LA 70663Certificate of waiverSep 28, 2026

National Provider Directory

National Provider Directory
Tax ID family
Holly Hill House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Geriatrics, LLC Organization, Kansas City, MO LLC 5% Or Greater Direct Ownership Interest May 1, 1999 25%
Joseph C Tutera Individual Corporate Officer Jun 10, 2020
Operational/Managerial Control May 1, 1999 25%
Kiley a Brooks Individual Corporate Director Sep 28, 2022

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1699775189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGSTON RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634016",
            "telephone_number": "337-625-5843",
            "fax_number": "337-625-3432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KINGSTON RD",
            "city": "SULPHUR",
            "state": "LA",
            "postal_code": "706634016",
            "telephone_number": "337-625-5843",
            "fax_number": "337-625-3432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HILL HOUSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "TUTERA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-444-0900"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "LA",
            "license": "198",
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "LA",
            "license": "198",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1517038",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sulphur, LA

Sources for this page

Verify at the official NPI Registry.