NPIMap

Organization Active NPI

Holly Hill Hospital LLC

  • Psychiatric Hospital
  • Raleigh, NC
National Provider Identifier
1861739401
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
MHH0113 Issued in NC
Legal business name
HOLLY HILL HOSPITAL LLC
Practice address
3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone
(919) 250-7000
NPI assigned
Jan 15, 2013
Organization subpart
Yes
Parent organization
HOLLY HILL HOSPITAL LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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

Authorized official

Name
Mr. Ron Howard
Title
Cfo
Phone
(919) 250-7248

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X MHH0113 NC Primary

Addresses

Primary practice location

3019 Falstaff Rd
Raleigh, NC 27610-1812

Mailing address

3019 Falstaff Rd
Raleigh, NC 27610-1812
Phone (919) 250-7000

Other identifiers 1

IdentifierTypeStateIssuer
3444014MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Holly Hill Hospital LLC4 organizations share this tax ID, including this one
Part of
Holly Hill Hospital LLC

Other organizations with this tax ID 3

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": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1861739401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-250-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3019 FALSTAFF RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101812",
            "telephone_number": "919-250-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY HILL HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOLLY HILL HOSPITAL LLC",
        "enumeration_date": "2013-01-15",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-250-7248",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NC",
            "license": "MHH0113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3444014",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.