Organization Active NPI

Hollyhomecare Agency

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Glenolden, PA
National Provider Identifier
1821960303
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HOLLYHOMECARE AGENCY
Practice address
1072 Tremont Dr
Glenolden, PA 19036-1521
Phone
(215) 221-2597
NPI assigned
Sep 23, 2025
Last updated
Sep 23, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Shari Booker Holly
Title
Ceo
Phone
(215) 221-2597

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

1072 Tremont Dr
Glenolden, PA 19036-1521

Mailing address

1072 Tremont Dr
Glenolden, PA 19036-1521
Phone (215) 221-2597

National Provider Directory

National Provider Directory
Tax ID family
Hollyhomecare Agency2 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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1821960303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 TREMONT DR",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361521",
            "telephone_number": "215-221-2597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1072 TREMONT DR",
            "city": "GLENOLDEN",
            "state": "PA",
            "postal_code": "190361521",
            "telephone_number": "215-221-2597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYHOMECARE AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "BOOKER HOLLY",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-221-2597"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenolden, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.