Holly Lane Rehabilitation And Healthcare Center, Llc

LBN: Holly Lane Rehabilitation And Healthcare Center, Llc
Holly Lane Rehabilitation And Healthcare Center, Llc is an health care organization with primary practice located at 2105 12Th Ave Rd , Nampa ID 83686-6312. 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. Holly Lane Rehabilitation And Healthcare Center, Llc can be contacted via phone (208) 467-5721, or through Robinson, Craig E via phone (901) 937-7994.

Contact Information

Primary practice address
2105 12Th Ave Rd Nampa ID 83686-6312
Phone: (208) 467-5721
Fax: (208) 467-2748
Website:
Map and Directions
Authorized official contact:
Name: Robinson, Craig E
Phone: (901) 937-7994

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X APPLIED FOR Idaho

Profile Details

NPI number 1053553461
LBN Legal business name Holly Lane Rehabilitation And Healthcare Center, Llc
DBA Doing business as
Authorized official Robinson, Craig E
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 31st, 2009
Last updated Jul 11th, 2016 - about 9 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 1053553461 NPPES
Idaho MEDICAID APPLIED FOR

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