Active NPI
Holly Hill House, LLC
- Skilled Nursing Facility
- Sulphur, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 198
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1517038 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 House
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Sep 1, 1997
- Medicare certification status
- Active
- Certified beds
- 200
- Abuse citation
- Cited for abuse (Care Compare abuse icon)
- Penalties (3 years)
- 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D1089859 | Holly Hill House | Certificate of waiver | Sep 28, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Holly Hill House
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Sulphur, LA
- NPI 1841723905
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Geriatrics, LLC | 5% Or Greater Direct Ownership Interest | May 1, 1999 | 25% |
| Joseph C Tutera | Corporate Officer | Jun 10, 2020 | |
| Operational/Managerial Control | May 1, 1999 | 25% | |
| Kiley a Brooks | 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.
-
- Skilled Nursing Facility
- Lake Charles, LA
- NPI 1609876192
Geriatrics, LLC
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Donaldsonville, LA
- NPI 1356833420
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Internal Medicine Physician
- Donaldsonville, LA
- NPI 1356833420
Nursing home
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
- Norman August Higginbotham, RPH
- High Hope Care Center
- High Hope Care Center Inc
- High Hope Rehabilitation and Nursing Center LLC
- Carly Hillebrandt, FNP
- Holly Hill Nursing & Rehabilitation Center LLC
- Paula Hudson
- James Dant Hughes
- Allison Elaine Hyatt, PT, DPT
- Imperial Calcasieu Human Services Authority
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.