HOLLY CENTER NPI 1629054762

NPI Information

  • NPI: 1629054762
  • Provider Name: HOLLY CENTER
  • Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
  • Entity Type: Organization
  • CLIA Number: 21D2236550
  • Address: 926 SNOW HILL RD
    SALISBURY, MD
    ZIP 21804
  • Phone: (410) 572-6200

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NPI Details

HOLLY CENTER is a residential treatment facility, intellectual and/or developmental disabilities in Salisbury, MD. The provider is 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. HOLLY CENTER NPI is 1629054762. The provider is registered as an organization entity type.

The provider's business location address is:

926 SNOW HILL RD
SALISBURY, MD
ZIP 21804-939
Phone: (410) 572-6200
Fax: (410) 572-6390

The provider's authorized official is Thomas M. Kish .
The authorized official title is Director and has the following contact phone number (410) 572-6201.

The CLIA number assigned to this NPI record is 21D2236550 - other - icf/ii with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/20/2005 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental Disabilities22-007MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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