Hollis Home Health Agency LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOLLIS HOME HEALTH AGENCY LLC

Practice address

2402 Sequoya Dr
Lafayette, IN 47909-2764

Phone

(765) 421-4903

NPI assigned

Sep 24, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Dedrick Llewellyn Hollis

Title

Ceo

Phone

(765) 421-4903

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1758672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758672000000",
    "number": "1932072196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 SEQUOYA DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092764",
            "telephone_number": "765-421-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 SEQUOYA DR",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479092764",
            "telephone_number": "765-421-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIS HOME HEALTH AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-24",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "HOLLIS",
        "authorized_official_first_name": "DEDRICK",
        "authorized_official_middle_name": "LLEWELLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "765-421-4903",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Leo Hogan, M.D.
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• Home Health Depot Inc

• Home Health Agency in Lafayette, IN
• Providers in Lafayette, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2025; 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.