1. Home
  2. Directory
  3. North Carolina
  4. Wendell
  5. Custodial Care Facility
  6. NPI Profile

HOLLYBROOK CARE FACILITY
NPI 1508982695
Custodial Care Facility - Adult Care Home in Wendell, NC

Active since March 21, 2007
130 HARRIS STREET, WENDELL, NC 27591(919) 961-7515 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Hollybrook Care Facility NPPES

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

HOLLYBROOK CARE FACILITY (NPI 1508982695) is a healthcare organization registered as an adult care home in Wendell, North Carolina and active in the NPI registry since March 2007. The organization lists Lucille Cooper, Owner, as its authorized official.

NPPES Registry Identity

NPI1508982695
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameHOLLYBROOK CARE FACILITY
Location Address130 HARRIS STREETWendell, NC 27591
Mailing AddressPo Box 1375Wendell, NC 27591-1375 · (919) 961-7515
Phone(919) 961-7515
Organization SubpartNo
Authorized OfficialLucille CooperOwner · (919) 961-7515
Enumeration DateMarch 21, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1508982695 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · MHL 092-561
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
130 HARRIS STREET, Wendell, NC 27591
Open in Google Maps ↗

Other Identifiers 1

Medicaid7804889NC

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 Hollybrook Care Facility's NPI number?

The NPI number for Hollybrook Care Facility is 1508982695. It was assigned to this organization in the NPPES registry on March 21, 2007.

Where is Hollybrook Care Facility located?

Hollybrook Care Facility is located at 130 Harris Street, Wendell, NC 27591. The listed phone number is (919) 961-7515.

What is Hollybrook Care Facility's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Hollybrook Care Facility 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 6 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.