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HOLLY HILL HOSPITAL
NPI 1184842544
Psychiatric Hospital in Henderson, NC

Active since April 23, 2007CLIA 34D0882945 · Waiver
510 DABNEY DR, HENDERSON, NC 27536(252) 431-0072(252) 431-0490 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Holly Hill Hospital NPPES

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

HOLLY HILL HOSPITAL (NPI 1184842544), doing business as Psi Inc Of Nc Dba Holly Hill, is a healthcare organization registered as a psychiatric hospital in Henderson, North Carolina and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through February 18, 2028 and lists Tom Ryba, Chief Excecutive Officer, as its authorized official.

NPPES Registry Identity

NPI1184842544
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameHOLLY HILL HOSPITAL
Location Address510 DABNEY DRHenderson, NC 27536-3946
Mailing Address3019 Falstaff RdRaleigh, NC 27610-1812 · (919) 250-7000
Phone(252) 431-0072
Fax(252) 431-0490
Organization SubpartNo
Authorized OfficialTom RybaChief Excecutive Officer · (919) 250-7186
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1184842544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
License✔ Licensed in NC · 4481
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
510 DABNEY DR, Henderson, NC 27536
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Other Names 1

Former Legal Business NamePsi Inc Of Nc Dba Holly Hill

Other Identifiers 1

Medicaid6102736NC

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 34D0882945

Holly Hill Hospital · Raleigh, NC
Active · expires Feb 18, 2028
CLIA Number34D0882945
Laboratory TypeHospital
Certificate Effective DateFebruary 19, 2026
Certificate Expiration DateFebruary 18, 2028
Laboratory DirectorKondal E. Madaram
Laboratory Phone(919) 250-7000
Laboratory LocationHolly Hill Hospital3019 Falstaff Road, Raleigh, NC 27610
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 NPPES 17

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

CAROLINA BEHAVIORAL CARE
Counselor (Mental Health)
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 431-0072
TRIUMPH LLC
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 431-0072
SUSAN HARTNER
Counselor (Professional)
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 431-0072
LEGACY HUMAN SERVICES, INC.
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 438-5667
KRISTY D SCHEELE
Social Worker (Clinical)
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 431-0072
LEGACY HUMAN SERVICES, INC.
Community/Behavioral Health
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 438-5667
VANCE RECOVERY, PC
Clinic/Center (Methadone)
510 DABNEY DR, SUITE B
HENDERSON, NC 27536
Vance County (919) 676-9699
CAROLINA BEHAVIORAL CARE
Psychiatry & Neurology (Psychiatry)
510 DABNEY DR
HENDERSON, NC 27536
Vance County (252) 431-0072

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 Hill Hospital's NPI number?

The NPI number for Holly Hill Hospital is 1184842544. It was assigned to this organization in the NPPES registry on April 23, 2007. The provider was formerly known as Psi Inc Of Nc Dba Holly Hill.

Where is Holly Hill Hospital located?

Holly Hill Hospital is located at 510 Dabney Dr, Henderson, NC 27536. The listed phone number is (252) 431-0072.

What is Holly Hill Hospital's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Holly Hill Hospital hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0882945) is associated with this NPI, valid through February 18, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Holly Hill Hospital was last updated on August 22, 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.