Holiday Resort Emporia LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HOLIDAY RESORT EMPORIA LLC

Doing business as

Holiday Resort Emporia

Practice address

2700 W 30TH Ave
Emporia, KS 66801-9100

Phone

(718) 942-3483

NPI assigned

May 13, 2024

Organization subpart

No

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

Authorized official

Name

Zisha Margulies

Title

Ceo

Phone

(718) 942-3483

Specialties & licenses 1

Addresses

Other names 1

• Holiday Resort Emporia Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1912755075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 KNAPP ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112351006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W 30TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668019100",
            "telephone_number": "718-942-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLIDAY RESORT EMPORIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "MARGULIES",
        "authorized_official_first_name": "ZISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-942-3483"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "PCC",
            "affiliation": "N",
            "address_1": "2700 W 30th Ave",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668019100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Holiday Resort Emporia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tricia L Holliday, OD
• Home Care Specialists
• Homestead of Emporia Operations LLC

• Skilled Nursing Facility in Emporia, KS
• Providers in Emporia, KS by specialty
• Skilled Nursing Facility in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; 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.