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HOLZER HOSPITAL FOUNDATION
NPI 1083216923
In Home Supportive Care in Gallipolis, OH

Active since November 16, 2020CLIA Certified · 3 labs
2881 STATE ROUTE 160, GALLIPOLIS, OH 45631(740) 441-3914(740) 441-3917 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holzer Hospital Foundation NPPES

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

HOLZER HOSPITAL FOUNDATION (NPI 1083216923), doing business as Holzer Extra Care, is a healthcare organization registered as an in home supportive care in Gallipolis, Ohio and active in the NPI registry since November 2020. The organization holds 3 active CLIA laboratory certificates and lists Michael R. Canady, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1083216923
Entity TypeOrganization
Primary Taxonomy253Z00000X
Legal Business NameHOLZER HOSPITAL FOUNDATION
Location Address2881 STATE ROUTE 160Gallipolis, OH 45631-8441
Mailing Address100 Jackson PikeGallipolis, OH 45631-1560 · (740) 441-3914 · Fax (740) 441-3917
Phone(740) 441-3914
Fax(740) 441-3917
Organization SubpartNo
Authorized OfficialMichael R. CanadyChief Executive Officer · (740) 446-5051
Enumeration DateNovember 16, 2020
NPPES CertifiedNovember 16, 2020
✔ NPI 1083216923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIn Home Supportive CareAgencies
Taxonomy Code253Z00000X
Definition
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.
2881 STATE ROUTE 160, Gallipolis, OH 45631
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Other Names 1

Doing Business AsHolzer Extra Care

Other Identifiers 1

Medicaid0170667OH

CLIA Laboratory Certificates CMS CLIA 3

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 Accreditation 36D0350717

Holzer Hospital Foundation Dba Holzer Gallipolis · Gallipolis, OH
Active · expires Feb 8, 2027
CLIA Number36D0350717
Laboratory TypeHospital
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Jordon K. March
Laboratory Phone(740) 446-5171
Laboratory LocationHolzer Hospital Foundation Dba Holzer Gallipolis100 Jackson Pike Attn Shari Fields Kebler, Gallipolis, OH 45631
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Accreditation 36D0350716

Holzer Hospital Foundation Dba Holzer Sycamore · Gallipolis, OH
Active · expires Dec 22, 2027
CLIA Number36D0350716
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Jordon K. March
Laboratory Phone(740) 446-5157
Laboratory LocationHolzer Hospital Foundation Dba Holzer Sycamore4th & Sycamore St, Gallipolis, OH 45631
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 36D2281613

Holzer Hospital Foundation Dba Holzer, Community Medicine · Gallipolis, OH
Active · expires May 8, 2027
CLIA Number36D2281613
Laboratory TypeSchool/Student Health Service
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorJohn Ellison
Laboratory Phone(740) 446-5555
Laboratory LocationHolzer Hospital Foundation Dba Holzer, Community Medicine340 Fourth Avenue, Gallipolis, OH 45631
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HOLZER HOSPITAL FOUNDATION
Hospice Care, Community Based
2881 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5000
HOLZER HOSPITAL FOUNDATION
Home Health
2881 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (740) 446-5000
MR. RICHARD RYAN DENNISON CNP
Nurse Practitioner
2881 STATE ROUTE 160
GALLIPOLIS, OH 45631
Gallia County (855) 446-5937

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 Holzer Hospital Foundation's NPI number?

The NPI number for Holzer Hospital Foundation is 1083216923. It was assigned to this organization in the NPPES registry on November 16, 2020. The provider is doing business as Holzer Extra Care.

Where is Holzer Hospital Foundation located?

Holzer Hospital Foundation is located at 2881 State Route 160, Gallipolis, OH 45631. The listed phone number is (740) 441-3914.

What is Holzer Hospital Foundation's specialty?

The primary specialty registered for this NPI is In Home Supportive Care with taxonomy code 253Z00000X.

Does Holzer Hospital Foundation hold CLIA laboratory certificates?

Yes. 3 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Holzer Hospital Foundation was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.