HOLDEN FAMILY CARE, LLC
NPI 1205154606
Clinic/Center - Rural Health in Holden, MO
About Holden Family Care, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLDEN FAMILY CARE, LLC (NPI 1205154606) is a healthcare organization registered as a rural health in Holden, Missouri and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through May 4, 2028 and lists Carol Jean Jackson, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Holden Family Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Holden Family Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 26D2006961
Holden Family Care · Holden, MOFrequently 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 Holden Family Care, LLC's NPI number?
The NPI number for Holden Family Care, LLC is 1205154606. It was assigned to this organization in the NPPES registry on May 10, 2010.
Where is Holden Family Care, LLC located?
Holden Family Care, LLC is located at 612 E 10th St, Holden, MO 64040. The listed phone number is (816) 732-6010.
What is Holden Family Care, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Holden Family Care, LLC enrolled in Medicare?
Yes. Holden Family Care, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Holden Family Care, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Holden Family Care, LLC, in Hospitalist and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Holden Family Care, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D2006961) is associated with this NPI, valid through May 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Holden Family Care, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Holden Family Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Holden Family Care, LLC was last updated on April 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Holden Family Care, Llc · NPI 1205154606
Rural Health organization in Holden, Missouri. Organization record, active in the CMS NPPES registry since May 10, 2010.
## Identity
- **NPI:** 1205154606 (Entity type: Organization)
- **Enumerated:** May 10, 2010
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Carol Jackson, OFFICE MANAGER
## Practice location
- **Address:** 612 E 10TH ST, Holden, MO 64040-9421
- **Phone:** (816) 732-6010 · **Fax:** (816) 732-6011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (1), Nurse Practitioner (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 10, 2015
- **Other identifiers:** Medicare OSCAR/certification 793811 (MO); Medicaid 1205154606 (MO)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205154606) · Data from the CMS NPPES public registry.