HOLLY HILLS RETIREMENT HOME
NPI 1275910341
Assisted Living Facility in Saint Louis, MO
About Holly Hills Retirement Home NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOLLY HILLS RETIREMENT HOME (NPI 1275910341) is a healthcare organization registered as an assisted living facility in Saint Louis, Missouri and active in the NPI registry since April 2015. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Christopher Michael Vancil, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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 26D0969726
Holly Hills Retirement · Saint Louis, 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 Holly Hills Retirement Home's NPI number?
The NPI number for Holly Hills Retirement Home is 1275910341. It was assigned to this organization in the NPPES registry on April 28, 2015.
Where is Holly Hills Retirement Home located?
Holly Hills Retirement Home is located at 6421 Minnesota Ave, Saint Louis, MO 63111. The listed phone number is (314) 630-3543.
What is Holly Hills Retirement Home's specialty?
The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.
Does Holly Hills Retirement Home hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0969726) is associated with this NPI, valid through April 5, 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 Hills Retirement Home was last updated on April 28, 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.
# Holly Hills Retirement Home · NPI 1275910341
Assisted Living Facility organization in Saint Louis, Missouri. Organization record, active in the CMS NPPES registry since April 28, 2015.
## Identity
- **NPI:** 1275910341 (Entity type: Organization)
- **Enumerated:** April 28, 2015
- **Primary specialty:** Assisted Living Facility · taxonomy 310400000X
- **Organization subpart:** Yes (part of Missouri Residential Care Llc)
- **Authorized official:** Christopher Vancil, OWNER
## Practice location
- **Address:** 6421 MINNESOTA AVE, Saint Louis, MO 63111-2808
- **Phone:** (314) 630-3543
## Record status
- **NPPES last updated:** April 28, 2015
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1275910341) · Data from the CMS NPPES public registry.