Holly House in Riverside - Intermediate Care Facility, Intellectual Disabilities
Holly House - NPI 1801911797
Holly House is a Intermediate Care Facility, Intellectual Disabilities in Riverside, California. Holly House practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Holly House is 1801911797. The last update date is 2020-08-22.
Holly House's current location address is 3674 Pacific Ave, Riverside, California. You can contact this provider via phone number 9516824833 and fax number 9516821503. The mailing address for Holly House is 3674 Pacific Ave, Riverside, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Holly House |
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Address | 3674 Pacific Ave, Riverside, California |
Phone Number | 9516824833 |
Fax Number | 9516821503 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXEC VICE |
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Authorized Official Name | Jumonville Cheryl |
Telephone Number | 9516824833 |
NPI Number Detail
NPI Number | 1801911797 |
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Provider Enumeration Date | 2007-03-20 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3674 Pacific Ave |
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City | Riverside |
State | California (CA) |
Post Code | 925091948 |
Phone Number | 9516824833 |
Fax Number | 9516821503 |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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2400000518 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Holly House by the Centers for Medicare & Medicaid Services?
The Holly House has been assigned the NPI (National Provider Identifier) 1801911797. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Holly House is located?
The Holly House is situated at the following address: 3674 Pacific Ave, Riverside, CA, 925091948.
What is the area of specialization for Holly House, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holly House is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date was the 1801911797 assigned to Holly House?
The Holly House was issued its 1801911797 on 2007-03-20, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Holly House most recently updated?
The details pertaining to the Holly House, including its address, specialty, and other relevant information, were last refreshed on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA