Holly Care Center LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HOLLY CARE CENTER LLC

Practice address

320 North 8TH Street
Holly, CO 81047

Phone

(719) 537-6555

NPI assigned

Nov 6, 2024

Organization subpart

No

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

Authorized official

Name

Mary Koretke

Title

Director Cost Reporting

Phone

(720) 974-6278

Specialties & licenses 1

Addresses

Other names 1

• Holly Care Center Doing business as

Tax ID family

Holly Care Center2 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.

• Holly Care Center LLC

  • Skilled Nursing Facility
  • Holly, CO
  • NPI 1023862430
  NPD tax ID

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

{
    "created_epoch": "1730851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730851200000",
    "number": "1922821024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 S COLORADO BLVD STE 211",
            "city": "GLENDALE",
            "state": "CO",
            "postal_code": "802461904",
            "telephone_number": "720-974-6278",
            "fax_number": "303-987-0434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 NORTH 8TH STREET",
            "city": "HOLLY",
            "state": "CO",
            "postal_code": "81047",
            "telephone_number": "719-537-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "KORETKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR COST REPORTING",
        "authorized_official_telephone_number": "720-974-6278"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rhonda Christine Davis, COTA
• High Plains Community Health Center Incorporated
• High Plains Community Health Center Incorporated
• Jacob Kyle Holdren, DC
• Holly Care Center LLC
• Holly Fire & Ambulance District
• Holly Nursing Care Center, Inc
• Holly Nursing Care Center, Inc.
• Holly School District Re-3
• Elizabeth Lydon

• Skilled Nursing Facility in Holly, CO
• Providers in Holly, CO by specialty
• Skilled Nursing Facility in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.