Brea Holloway, LPN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4703111492 Issued in MI

Practice address

20249 Yacama Rd
Detroit, MI 48203

Phone

(248) 915-8096

NPI assigned

Feb 26, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1811312937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20249 YACAMA RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482034906",
            "telephone_number": "248-914-2908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20249 YACAMA RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48203",
            "telephone_number": "248-915-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "BREA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MI",
            "license": "4703111492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ervin Hollins Jr.
• Karla Lakriss Hollins, LMSW
• Mushrah Hollins
• Stephanie Holloman
• Aerial Shaina Holloway
• Brianna Holloway
• Frank B. Holloway, M.D.
• Theresa Marie Holloway
• Whitney Holloway
• Beverly Hollowell

• Home Health Agency in Detroit, MI
• Providers in Detroit, MI by specialty
• Home Health Agency in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.