HOLDEN FAMILY CARE, LLC
NPI 1205154606
Clinic/Center - Rural Health in Holden, MO

Active since May 10, 2010CLIA 26D2006961 · Waiver
612 E 10TH ST, HOLDEN, MO 64040(816) 732-6010(816) 732-6011 Get Directions Write a Review

NPPES record last updated: April 10, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1205154606
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameHOLDEN FAMILY CARE, LLC
Location Address612 E 10TH STHolden, MO 64040-9421
Mailing Address612 E 10th StHolden, MO 64040-9421 · (816) 732-6010 · Fax (816) 732-6011
Fax(816) 732-6011
Organization SubpartNo
Authorized OfficialCarol Jean JacksonOffice Manager · (816) 732-6010
Enumeration DateMay 10, 2010
Last NPPES UpdateApril 10, 2015
NPI 1205154606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
License Licensed in MO · 076670
Also ListedNurse PractitionerTaxonomy 363L00000X · License 076670 (MO)
612 E 10TH ST, Holden, MO 64040

Other Identifiers 2

Medicare OSCAR/certification793811MO
Medicaid1205154606MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, MO
Active · expires May 4, 2028
CLIA Number26D2006961
Laboratory TypeRural Health Clinic
Certificate Effective DateMay 5, 2026
Certificate Expiration DateMay 4, 2028
Laboratory DirectorDorothy L. Adams
Laboratory Phone(816) 850-3607
Laboratory LocationHolden Family Care612 East 10th Street, Holden, MO 64040
CLIA data matches this NPI record on: Address 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.

Nurse Practitioner
612 E 10TH ST
HOLDEN, MO 64040
Nurse Practitioner (Family)
612 E 10TH ST
HOLDEN, MO 64040
Nurse Practitioner (Family)
612 E 10TH ST
HOLDEN, MO 64040

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 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.

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 Home State Health and Ambetter from Sunflower Health Plan and 3 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.