HOLLY HILL HOSPITAL LLC (NPI# 1417177908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417177908 |
| Entity Type | Organization |
| Organization Name | HOLLY HILL HOSPITAL LLC |
| Other Organization Name | PSI INC OF NC DBA HOLLY HILL |
| Practice Address |
107 Industrial Dr Louisburg NC 27549-2371 |
| Mailing Address |
3019 Falstaff Rd Raleigh NC 27610-1812 |
| Practice Telephone | 9194963444 |
| Mailing Telephone | 9192507000 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2008-08-14 |
| Authorized Official Name | MR. TOM RYBA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 9192507186 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 5577 | NC | Hospitals |
| Other Name | Type Code |
|---|---|
| PSI INC OF NC DBA HOLLY HILL | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861739401 | Holly Hill Hospital LLC | Psychiatric Hospital | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2013-01-15 |
| 1750508248 | Holly Hill Hospital LLC | Psychiatric Hospital | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-04-19 |
| 1518037233 | Holly Hill Hospital LLC | Psychiatric Hospital | 3019 Falstaff Rd, Raleigh, NC 27610 | 2006-11-09 |
| Street Address |
107 INDUSTRIAL DR |
| City | LOUISBURG |
| State | NC |
| Zip Code | 27549-2371 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366521254 | Louis David Allen | Pediatrics | 107 Industrial Dr, Suite C, Louisburg, NC 27549-2371 | 2006-11-03 |
| 1154747665 | Amanda Beam Roper | Physician Assistant | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2014-03-07 |
| 1861720476 | Central Community Services, LLC | Community/Behavioral Health | 107 Industrial Dr, Suite B, Louisburg, NC 27549-2371 | 2009-11-20 |
| 1528210002 | Carolina Behavioral Care | Counselor | 107 Industrial Dr, Suite B, Louisburg, NC 27549-2371 | 2008-10-16 |
| 1245430719 | Jonathon Blocker Payne | Counselor | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-07-23 |
| 1871790063 | Sheri Michelle Lott | Counselor | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-06-29 |
| 1265644223 | Judith Rosario-llantin | Dentist | 107 Industrial Dr, Suite C, Louisburg, NC 27549-2371 | 2007-05-04 |
| 1750508248 | Holly Hill Hospital LLC | Psychiatric Hospital | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-04-19 |
| 1982820288 | Thuhuong Le Trinh | Family Medicine | 107 Industrial Dr, Ste C, Louisburg, NC 27549-2371 | 2007-04-17 |
| 1699890798 | Franklin Co. Dept. of Social Services | Case Management | 107 Industrial Dr, Suite A, Louisburg, NC 27549-2371 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114554516 | Cassandra Davis | Custodial Care Facility | 131 Huntington Rd, Louisburg, NC 27549 | 2020-03-25 |
| 1457816738 | Jasmine Shanta Griffin | Social Worker | Vision Behavioral Health Servicea, 104 North Main St. Suite 200, Louisburg, NC 27549 | 2019-01-31 |
| 1285065797 | Carey Wainwright | Counselor | 104 N. Main Street, Suite 200, Vision Behavioral Health Services, Louisburg, NC 27549 | 2013-12-09 |
| 1114366713 | Alston Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1510 Schloss Road #b, Loiusburg, NC 27549 | 2013-06-18 |
| 1154760981 | Tony's Helping Hand | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 32 Gayline Drive, Louisburg, NC 27549 | 2013-06-14 |
| 1689910192 | E Marie Buie | Counselor | 669 Sagamore, Louisburg, NC 27549 | 2013-01-02 |
| 1508158163 | Julie P Leonard | Pharmacist | 102 N. Bickett Blvd., Louisburg, NC 27549 | 2011-05-13 |
| 1508162678 | Franklin County Department of Social Services | Case Management | 107 Industrial Dr., Suite A, Louisburg, NC 27549 | 2011-02-07 |
| 1134352693 | Howard G Yee, Dmd Pa | Dentist | 311 South Bickett, Louisburg, NC 27549 | 2009-09-01 |
| 1679740203 | Stephen D Perdue | Physical Therapy Assistant | 2176 Nc Hwy 39 North, Louisburg, NC 27549 | 2008-05-13 |
| Find all providers in zip 27549 | ||||
| Taxonomy Code | 283Q00000X |
| Grouping | Hospitals |
| Classification | Psychiatric Hospital |
| 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. |
| Notes: Source: Expanded from Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750508248 | Holly Hill Hospital LLC | Psychiatric Hospital | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811406051 | Triangle Springs, LLC | Psychiatric Hospital | 10901 World Trade Blvd., Raleigh, NC 27617-4203 | 2017-09-20 |
| 1730623182 | Ralph Newman | Psychiatric Hospital | 1019 Bookmark Trl, Durham, NC 27703-9871 | 2016-12-05 |
| 1962887281 | North Carolina Agricultural and Technical State University | Psychiatric Hospital | 913 Bluford St., Greensboro, NC 27401 | 2015-07-28 |
| 1881085264 | Fayetteville Va Medical Cener | Psychiatric Hospital | 1111 Shell Dr, Apt 60, Spring Lake, NC 28390-2050 | 2015-02-06 |
| 1992044143 | Holly Hill Hospital Mobile Crisis | Psychiatric Hospital | 943 W Andrews Ave Ste K, Henderson, NC 27536-2587 | 2013-02-07 |
| 1487999652 | Unc-chapel Hill | Psychiatric Hospital | Unc Ch, 101 Manning Dr. Cb7167, Chapel Hill, NC 27599-0001 | 2012-11-29 |
| 1407096100 | Recovery Response Center | Psychiatric Hospital | 300 Parkview Drive, Henderson, NC 27536 | 2009-02-20 |
| 1639357429 | Sbh- Wilmington, LLC | Psychiatric Hospital | 2050 Mercantile Drive, Leland, NC 28451 | 2008-02-05 |
| 1295938652 | Linda Ruth Derbes | Psychiatric Hospital | 4919 S Miami Blvd, Durham, NC 27703-8435 | 2007-06-06 |
| 1992851331 | Julian F Keith Alcohol and Drug Abuse Treatment Center | Psychiatric Hospital | 201 Tabernacle Road, Black Mountain, NC 28711 | 2007-01-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.