Rebecca Holloway

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC5795 Issued in NC

Practice address

714A 1/2 W Vernon Ave
Kinston, NC 28501-3744

Phone

(252) 643-2425

Fax

(252) 643-2426

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Ms. Kendria Williams Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miracle's of Love Home Care LLC

  • In Home Supportive Care Agency
  • Kinston, NC
  • NPI 1518551357
  NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1740873595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714A 1/2 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013744",
            "telephone_number": "252-643-2425",
            "fax_number": "252-643-2426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714A 1/2 W VERNON AVE",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285013744",
            "telephone_number": "252-643-2425",
            "fax_number": "252-643-2426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "REBECCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC5795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "McAfee",
            "affiliation": "N",
            "endpointDescription": "security",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "714A 1/2 W Vernon Ave",
            "city": "Kinston",
            "state": "NC",
            "country_code": "US",
            "postal_code": "285013744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KENDRIA",
            "last_name": "WILLIAMS",
            "prefix": "MS.",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sharon Marie Hinnant Cox, LPCA
• His Covenant Care Home, Inc
• Hobbs Adult Care Inc. (Hobbs Assisted Living, Inc.#2)
• Peter K Hobler, BSW/QP SACI
• John Patrick Hogan, NP
• Haella Elizabeth Holmes, DDS
• Derek James Holsinger
• Home Life Care Inc
• Homecare Advantage
• Honey's Assisted Living, LLC

• Home Health Agency in Kinston, NC
• Providers in Kinston, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.