HOLLY CENTER
NPI 1629054762
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Salisbury, MD

NPI Status: Active since December 20, 2005

Contact Information

926 SNOW HILL RD
SALISBURY, MD
ZIP 21804
Phone: (410) 572-6200
Fax: (410) 572-6390

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  • Organization
  • Residential Treatment Facility, Intellec...
  • CLIA Number: 21D2236550
  • CLIA Cert. Type: Other - ICF/II
  • CLIA Exp. Date: 09-16-2027

About HOLLY CENTER

This page provides the complete NPI Profile along with additional information for Holly Center, a provider established in Salisbury, Maryland operating as a Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The healthcare provider is registered in the NPI registry with number 1629054762 assigned on December 2005. The practitioner's primary taxonomy code is 320600000X with license number 22-007 (MD). The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Mr. Thomas M. Kish (Director)

NPI
1629054762
Provider Name
HOLLY CENTER
Entity Type
Organization
Location Address
926 SNOW HILL RD SALISBURY, MD 21804
Location Phone
(410) 572-6200
Location Fax
(410) 572-6390
Mailing Address
926 SNOW HILL RD SALISBURY, MD 21804
Mailing Phone
(410) 572-6200
Mailing Fax
(410) 572-6390
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-20-2005
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

Taxonomy Code
320600000X
Type
Residential Treatment Facilities
License No.
22-007
License State
MD
Taxonomy Description
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. THOMAS M. KISH

Authorized Official Title
DIRECTOR
Authorized Official Phone
(410) 572-6201

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
21D2236550
Facility Type
Other - ICF/II
Certificate Effective Date
September 17, 2025
Certificate Expiration Date
September 16, 2027
Laboratory Director
MABEL ESH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Holly Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1629054762, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
2
Doubled → 4
Pos 4
9
Unchanged
Pos 5
0
Doubled → 0
Pos 6
5
Unchanged
Pos 7
4
Doubled → 8
Pos 8
7
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 0 → 0 4 → 8 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 4 + 9 + 0 + 5 + 8 + 7 + 1 + 2 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1629054762.

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Pediatrics
926 SNOW HILL RD
SALISBURY, MD 21804
Family Medicine
926 SNOW HILL RD
SALISBURY, MD 21804
Family Medicine
926 SNOW HILL RD
SALISBURY, MD 21804
Dentist (General Practice)
926 SNOW HILL RD
SALISBURY, MD 21804
Community/Behavioral Health
926 SNOW HILL RD, COTTAGE 200
SALISBURY, MD 21804
Internal Medicine (Geriatric Medicine)
926 SNOW HILL RD
SALISBURY, MD 21804
Dentist (Dental Public Health)
926 SNOW HILL RD
SALISBURY, MD 21804
Community/Behavioral Health
926 SNOW HILL RD
SALISBURY, MD 21804

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629054762, enumerated as an "organization" on December 20, 2005.

The provider is located at 926 SNOW HILL RD SALISBURY, MD 21804 and the phone number is (410) 572-6200.

Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.