HOLLY CARE CENTER LLC
NPI 1023862430
Skilled Nursing Facility in Holly, CO

Active since April 12, 2024CLIA 06D0518350 · Waiver
320 NORTH 8TH STREET, HOLLY, CO 81047(719) 537-6555(719) 537-6366 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Holly Care Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLY CARE CENTER LLC (NPI 1023862430), doing business as Holly Care Center, is a healthcare organization registered as a skilled nursing facility in Holly, Colorado and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Mary Koretke, Director Cost Reporting, as its authorized official.

NPPES Registry Identity

NPI1023862430
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLLY CARE CENTER LLC
Location Address320 NORTH 8TH STREETHolly, CO 81047
Mailing Address720 S Colorado Blvd Ste 211Glendale, CO 80246-1904 · (720) 974-6278
Fax(719) 537-6366
Organization SubpartNo
Authorized OfficialMary KoretkeDirector Cost Reporting · (303) 378-8320
Enumeration DateApril 12, 2024
NPPES CertifiedApril 9, 2024
NPI 1023862430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

320 NORTH 8TH STREET, Holly, CO 81047

Other Names 1

Doing Business AsHolly Care Center

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 06D0518350

Holly Care Center, LLC · Holly, CO
Active · expires Aug 31, 2026
CLIA Number06D0518350
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorGregory Gham
Laboratory Phone(719) 537-6555
Laboratory LocationHolly Care Center, LLC320 N 8th Street, Holly, CO 81047
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Skilled Nursing Facility
320 NORTH 8TH STREET
HOLLY, CO 81047

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023862430, enumerated as an "organization" on April 12, 2024.

The provider is located at 320 NORTH 8TH STREET HOLLY, CO 81047 and the phone number is (719) 537-6555.

Skilled Nursing Facility with taxonomy code 314000000X.