Holly Homecare Services Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLLY HOMECARE SERVICES INC

Practice address

3034 W Glen Holly Dr
Anaheim, CA 92804-3813

Phone

(310) 408-5620

NPI assigned

Feb 26, 2025

Last updated

Feb 28, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imelda Lenz, BS ACCOUNTANCY

Title

President/Ceo

Phone

(310) 408-5620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1740528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1790582930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4122 MANZANITA",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926042709",
            "telephone_number": "310-408-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 W GLEN HOLLY DR",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928043813",
            "telephone_number": "310-408-5620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HOMECARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-26",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "LENZ",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "310-408-5620",
        "authorized_official_credential": "BS ACCOUNTANCY"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.