Holiday Hill, Inc.
Organization Active NPI Skilled Nursing Facility · Coleman, TX
NPI 1891781498 · NPPES record last updated May 30, 2025
Key facts
- NPI
- 1891781498
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 109598 (TX)
- Legal business name
- HOLIDAY HILL, INC.
- Practice address
- 245 State Highway 153
Coleman, TX 76834-8757 - Phone
- (325) 625-4157
- Fax
- (325) 625-2953
- NPI assigned
- Sep 20, 2005
- Organization subpart
- No
Authorized official
- Name
- Mrs. Kelly Lynn Cox
- Title
- Business Office Manager
- Phone
- (325) 625-4157
Practitioners 3
-
Darron T Atwood, MD
Affiliated clinicians 2
-
Darron T Atwood, MD
Medicare Care Compare: Nursing home
- Listed as
- Holiday Hill Inc
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★★★☆ 4 of 5
- Quality measures
- ★★★☆☆ 3 of 5
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Other
- Certified
- May 14, 1997
- Medicare certification status
- Active
- Certified beds
- 106 · 56.0 residents per day on average
- Penalties (3 years)
- 14 · fines totaling $64,218
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0660013 | Holiday Hill Inc | Certificate of waiver | Aug 31, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Skilled nursing facility certification: CCN 675687
- Legal name
- HOLIDAY HILL, INC.
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF distinct part
- Participating since
- May 14, 1997
- Last certification
- Sep 19, 2024
- Beds
- 106
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation · Non-profit
- Incorporated
- Nov 20, 1924 in TX
- Enrollment address
- 245 State Highway 153 W
Coleman, TX 76834-8757 - Nursing home name
- HOLIDAY HILL INC
All disclosed owners & managing parties 6
| Name | Role | Since | Share |
|---|---|---|---|
| Carmen Runyan |
Corporate Officer |
Mar 6, 2015 | |
| Forrest Blanton |
W-2 Managing Employee |
Nov 5, 2015 | 100% |
| Operational/Managerial Control |
Nov 5, 2015 | 100% | |
| Cathy R Allen |
Corporate Officer |
Mar 6, 2015 | |
| Ramona Green |
W-2 Managing Employee |
Dec 3, 2012 | |
| Terry Test |
Corporate Director |
Jan 28, 2015 | |
| Bryan McGilvray |
Corporate Officer |
Mar 6, 2015 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100204000801 | TX | Part a Provider - Skilled Nursing Facility | 7315080959 | Practice locations: Coleman, TX |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 109598 | TX | Yes |
Addresses
Primary practice location
245 State Highway 153
Coleman, TX 76834-8757
Mailing address
PO Box 392
Coleman, TX 76834-0392
Phone (325) 625-4157
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000416101 | Medicaid | TX | |
| 1191480001 | Other | TX | DMERC |
Other providers in Coleman, TX
- Darron T Atwood MD PA
- William Clarence Earp
- Family Healthcare Clinic, PLLC
- Reagan Hadden
- Hamilton County Hospital District
- J Paul Reynolds, MD, PA
- Jackson Paul Reynolds MD PLLC
- Jalopy Shoppe Inc
- James C. Stokes
- Jeffrey Don Johnson
All providers in Coleman, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.