Organization Active NPI

Hollyhomecarellc

  • Community/Behavioral Health Agency
  • Mount Laurel, NJ
National Provider Identifier
1831020015
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOLLYHOMECARELLC
Practice address
3221 Route Ste 200
Mount Laurel, NJ 08054
Phone
(800) 698-5038
Fax
(855) 636-1955
NPI assigned
May 27, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Authorized official

Name
Shari Croom
Title
Ceo
Phone
(856) 484-1312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3221 Route Ste 200
Mount Laurel, NJ 08054

Mailing address

3221 Route Ste 200
Mount Laurel, NJ 08054
Phone (800) 698-5038

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1779840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779840000000",
    "number": "1831020015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 ROUTE STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "800-698-5038",
            "fax_number": "855-636-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 ROUTE STE 200",
            "city": "MOUNT LAUREL",
            "state": "NJ",
            "postal_code": "08054",
            "telephone_number": "800-698-5038",
            "fax_number": "855-636-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLYHOMECARELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-27",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-18",
        "status": "A",
        "authorized_official_last_name": "CROOM",
        "authorized_official_first_name": "SHARI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "856-484-1312"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Laurel, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.