HOLLY HILL HOSPITAL LLC (NPI# 1518037233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518037233 |
| Entity Type | Organization |
| Organization Name | HOLLY HILL HOSPITAL LLC |
| Other Organization Name | HOLLY HILL HOSPITAL |
| Practice Address |
3019 Falstaff Rd Raleigh NC 27610 |
| Mailing Address |
3019 Falstaff Rd Raleigh NC 27610-1812 |
| Practice Telephone | 9192507000 |
| Mailing Telephone | 9192507000 |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2018-08-09 |
| Authorized Official Name | STEVE FILTON (SR VP CFO) |
| Authorized Official Telephone | 6107683482 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 283Q00000X | Psychiatric Hospital | 60034722 | NC | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | BLUE CROSS BLUE SHIELD | 00096 | 01 |
| NC | MEDICARE | 2352734 | 01 |
| NC | 3404014 | 05 |
| Other Name | Type Code |
|---|---|
| Holly Hill Hospital | Doing Business As Name - Organization |
| 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 |
| 1417177908 | Holly Hill Hospital LLC | Psychiatric Hospital | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-04-26 |
| 1750508248 | Holly Hill Hospital LLC | Psychiatric Hospital | 107 Industrial Dr, Louisburg, NC 27549-2371 | 2007-04-19 |
| Street Address |
3019 FALSTAFF RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942269592 | David Mbuga Gacengeci | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2006-03-22 |
| 1689273120 | Monika Rae Shontz | Social Worker | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-10-24 |
| 1013514496 | Jennifer Metzger | Social Worker | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-10-08 |
| 1013530039 | April Julia Brewster | Nurse Practitioner | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2020-05-26 |
| 1922566579 | Sherri Lynn Ford-jacobs | Counselor | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2019-03-02 |
| 1508345760 | Retfalvi International, Inc | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2018-08-08 |
| 1689057028 | J.b. Childers, Md, Pllc | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2015-07-02 |
| 1609265610 | J Z Wang Psychiatic Service P C | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2015-01-14 |
| 1699173294 | Pave Behavioral Health Services PC | Psychiatry & Neurology | 3019 Falstaff Rd, Raleigh, NC 27610 | 2014-12-12 |
| 1861739401 | Holly Hill Hospital LLC | Psychiatric Hospital | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2013-01-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| 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 |
|---|---|---|---|---|
| 1811406051 | Triangle Springs, LLC | Psychiatric Hospital | 10901 World Trade Blvd., Raleigh, NC 27617-4203 | 2017-09-20 |
| 1861739401 | Holly Hill Hospital LLC | Psychiatric Hospital | 3019 Falstaff Rd, Raleigh, NC 27610-1812 | 2013-01-15 |
| 1073651733 | Dorothea Dix Hospital | Psychiatric Hospital | 820 S Boylan Ave, Raleigh, NC 27603-2246 | 2007-02-02 |
| 1023122462 | Jafar Nosrat Ghassemian | Psychiatric Hospital | 820 S Boylan Ave, Raleigh, NC 27699-0001 | 2006-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1891889465 | Sally Louise Walker | Psychiatric Hospital | 1003 12 Street, Butner, NC 27509 | 2006-10-03 |
| 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.