HOLLY HILL HOSPITAL LLC
NPI 1750508248
Psychiatric Hospital in Louisburg, NC

NPI Status: Active since April 19, 2007

Contact Information

107 INDUSTRIAL DR
LOUISBURG, NC
ZIP 27549
Phone: (919) 496-3444

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  • Organization
  • Psychiatric Hospital
  • CLIA Number: 34D2152641
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 08-13-2026

About HOLLY HILL HOSPITAL LLC

This page provides the complete NPI Profile along with additional information for Holly Hill Hospital Llc, a provider established in Louisburg, North Carolina operating as a Psychiatric Hospital. The healthcare provider is registered in the NPI registry with number 1750508248 assigned on April 2007. The practitioner's primary taxonomy code is 283Q00000X with license number 4724 (NC). The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's former legal business name is Psi Inc Of Nc Dba Holly Hill. The authorized official of this NPI record is Mr. Tom Ryba (Chief Executive Officer)

NPI
1750508248
Provider Legal Name
HOLLY HILL HOSPITAL LLC
Other Organization Name
PSI INC OF NC DBA HOLLY HILL
Other Name Type
Former Legal Business Name (4)
Entity Type
Organization
Location Address
107 INDUSTRIAL DR LOUISBURG, NC 27549
Location Phone
(919) 496-3444
Mailing Address
3019 FALSTAFF RD RALEIGH, NC 27610
Mailing Phone
(919) 250-7000
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-19-2007
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

Psychiatric Hospital

Taxonomy Code
283Q00000X
Type
Hospitals
License No.
4724
License State
NC
Taxonomy Description
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. TOM RYBA

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(919) 250-7186

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
6102735MEDICAID (05)NC 

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
34D2152641
Facility Type
Hospital
Certificate Effective Date
August 14, 2024
Certificate Expiration Date
August 13, 2026
Laboratory Director
KONDAL MADARAM
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Holly Hill Hospital Llc 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 1750508248, we treat the final digit (8) 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 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

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
7
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
0
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
2
Unchanged
Pos 9
4
Doubled → 8
Check
8
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 5 → 10 → 1 5 → 10 → 1 8 → 16 → 7 4 → 8

Step 2: Add all digits plus the NPI constant

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

2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 1 + 6 + 2 + 8 + 24 = 52

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

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1750508248.

Other Providers at the Same Location


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

Case Manager/Care Coordinator
107 INDUSTRIAL DR, SUITE A
LOUISBURG, NC 27549
Family Medicine
107 INDUSTRIAL DR, STE C
LOUISBURG, NC 27549
Psychiatric Hospital
107 INDUSTRIAL DR
LOUISBURG, NC 27549
Counselor (Mental Health)
107 INDUSTRIAL DR
LOUISBURG, NC 27549
Counselor (Mental Health)
107 INDUSTRIAL DR
LOUISBURG, NC 27549
Social Worker (Clinical)
107 INDUSTRIAL DR, SUITE B
LOUISBURG, NC 27549
Community/Behavioral Health
107 INDUSTRIAL DR, SUITE B
LOUISBURG, NC 27549
Pediatrics
107 INDUSTRIAL DR, SUITE C
LOUISBURG, NC 27549

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750508248, enumerated as an "organization" on April 19, 2007.

The provider is located at 107 INDUSTRIAL DR LOUISBURG, NC 27549 and the phone number is (919) 496-3444.

Psychiatric Hospital with taxonomy code 283Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.