ELDERLY LIVING CENTER OF HOLLY HILL, INC
NPI 1366210809
Assisted Living Facility in Holly Hill, FL

Q: What is Elderly Living Center Of Holly Hill, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since December 14, 2023

810 OLEANDER AVE, HOLLY HILL, FL 32117(407) 810-7841 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Elderly Living Center Of Holly Hill, Inc NPPES

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

ELDERLY LIVING CENTER OF HOLLY HILL, INC (NPI 1366210809) is a healthcare organization registered as an assisted living facility in Holly Hill, Florida and active in the NPI registry since December 2023. The organization lists Kelly Dale Lucas, President, as its authorized official.

NPPES Registry Identity

NPI1366210809

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameELDERLY LIVING CENTER OF HOLLY HILL, INC

Location Address810 OLEANDER AVEHolly Hill, FL 32117-3434

Mailing Address810 Oleander AveHolly Hill, FL 32117-3434 · (407) 810-7841

Phone(407) 810-7841

Organization SubpartNo

Authorized OfficialKelly Dale LucasPresident · (407) 810-7841

Enumeration DateDecember 14, 2023

Last NPPES UpdateDecember 18, 2023

NPPES CertifiedDecember 18, 2023

✔ NPI 1366210809 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

810 OLEANDER AVE, Holly Hill, FL 32117

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Other Identifiers 1

Medicaid102518900FL

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 Elderly Living Center Of Holly Hill, Inc's NPI number?

The NPI number for Elderly Living Center Of Holly Hill, Inc is 1366210809. It was assigned to this organization in the NPPES registry on December 14, 2023.

Where is Elderly Living Center Of Holly Hill, Inc located?

Elderly Living Center Of Holly Hill, Inc is located at 810 Oleander Ave, Holly Hill, FL 32117. The listed phone number is (407) 810-7841.

What is Elderly Living Center Of Holly Hill, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Elderly Living Center Of Holly Hill, Inc was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.