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HOLLY GREEN
NPI 1548644693
Nursing Home Administrator in Farmington, MO

Active since July 17, 2015
3688 SAND CREEK RD, FARMINGTON, MO 63640(573) 756-2917(573) 756-7347 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly Green NPPES

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

HOLLY GREEN (NPI 1548644693) is an individual nursing home administrator provider in Farmington, Missouri, licensed in Missouri (043352) and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1548644693
Entity TypeIndividualFemale
Primary Taxonomy376G00000X
Provider Legal NameHOLLY GREEN
Location Address3688 SAND CREEK RDFarmington, MO 63640-7350
Mailing Address3688 Sand Creek RdFarmington, MO 63640-7350 · (573) 756-2917 · Fax (573) 756-7347
Phone(573) 756-2917
Fax(573) 756-7347
Sole ProprietorNo
Enumeration DateJuly 17, 2015
✔ NPI 1548644693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Home AdministratorNursing Service Related Providers
Taxonomy Code376G00000X
License✔ Licensed in MO · 043352
Definition
An individual, often licensed by the state, who is responsible for the management of a nursing home.
3688 SAND CREEK RD, Farmington, MO 63640
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Other Identifiers 1

Medicaid043352MO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREEN ACRES RESIDENTIAL CARE FACILITY, LLC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3688 SAND CREEK RD
FARMINGTON, MO 63640
St. Francois County (573) 756-2917

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 Holly Green's NPI number?

The NPI number for Holly Green is 1548644693. It was assigned to this individual provider in the NPPES registry on July 17, 2015.

Where is Holly Green located?

Holly Green practices at 3688 Sand Creek Rd, Farmington, MO 63640. The listed phone number is (573) 756-2917.

What is Holly Green's specialty?

The primary specialty registered for this NPI is Nursing Home Administrator with taxonomy code 376G00000X.

When was this NPI record last updated?

The NPPES record for Holly Green was last updated on July 17, 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.