Holiday Resort

LBN: Holiday Healthcare, Llc
Holiday Resort is an health care organization with primary practice located at 2700 W 30Th Ave , Emporia KS 66801-9100. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Holiday Healthcare, Llc can be contacted via phone (620) 343-9285, or through Kerbs, Mike Shane via phone (620) 343-9285.

Contact Information

Primary practice address
2700 W 30Th Ave Emporia KS 66801-9100
Phone: (620) 343-9285
Fax: (620) 343-1867
Website:
Map and Directions
Authorized official contact:
Name: Kerbs, Mike Shane LICENSED ADMIN.
Phone: (620) 343-9285

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X N056007 Kansas

Profile Details

NPI number 1659342301
LBN Legal business name Holiday Healthcare, Llc
DBA Doing business as Holiday Resort
Authorized official Kerbs, Mike Shane LICENSED ADMIN.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 31st, 2006
Last updated Nov 17th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659342301 NPPES
Kansas MEDICAID 100108180A
Kansas Other 175173

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