HOLLY LANE REHABILITATION AND HEALTHCARE CENTER, LLC
NPI 1053553461
Skilled Nursing Facility in Nampa, ID

Active since March 31, 2009
2105 12TH AVE RD, NAMPA, ID 83686(208) 467-5721(208) 467-2748 Get Directions Write a Review

NPPES record last updated: July 11, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Lane Rehabilitation And Healthcare Center, Llc NPPES

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

HOLLY LANE REHABILITATION AND HEALTHCARE CENTER, LLC (NPI 1053553461) is a healthcare organization registered as a skilled nursing facility in Nampa, Idaho and active in the NPI registry since March 2009. The organization lists Craig E Robinson, President, as its authorized official.

NPPES Registry Identity

NPI1053553461
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHOLLY LANE REHABILITATION AND HEALTHCARE CENTER, LLC
Location Address2105 12TH AVE RDNampa, ID 83686-6312
Mailing Address2105 12th Ave RdNampa, ID 83686-6312 · (208) 467-5721 · Fax (208) 467-2748
Fax(208) 467-2748
Organization SubpartYesParent: Orianna Health Systems, Llc
Authorized OfficialCraig E RobinsonPresident · (901) 937-7994
Enumeration DateMarch 31, 2009
Last NPPES UpdateJuly 11, 2016
NPI 1053553461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in ID · APPLIED FOR
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.
2105 12TH AVE RD, Nampa, ID 83686

Other Identifiers 2

Medicare OSCAR/certification135094
MedicaidAPPLIED FORID

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Skilled Nursing Facility
2105 12TH AVE RD
NAMPA, ID 83686
Physical Therapist
2105 12TH AVE RD
NAMPA, ID 83686
Skilled Nursing Facility
2105 12TH AVE RD
NAMPA, ID 83686
Occupational Therapist
2105 12TH AVE RD
NAMPA, ID 83686

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Holly Lane Rehabilitation And Healthcare Center, LLC's NPI number?

The NPI number for Holly Lane Rehabilitation And Healthcare Center, LLC is 1053553461. It was assigned to this organization in the NPPES registry on March 31, 2009.

Where is Holly Lane Rehabilitation And Healthcare Center, LLC located?

Holly Lane Rehabilitation And Healthcare Center, LLC is located at 2105 12th Ave Rd, Nampa, ID 83686. The listed phone number is (208) 467-5721.

What is Holly Lane Rehabilitation And Healthcare Center, LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

When was this NPI record last updated?

The NPPES record for Holly Lane Rehabilitation And Healthcare Center, LLC was last updated on July 11, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.