# HOLLY NURSING CARE CENTER, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285632372
- **Authorized official:** LAVONDA KAY CATHCART (ADMINISTRATOR)
- **Authorized official phone:** (719) 537-6555

## Contact information

- **Practice address:** 320 N 8TH ST, HOLLY, CO 81047
- **Practice address phone:** (719) 537-6555
- **Practice address fax:** (719) 537-6366
- **Mailing address:** PO BOX 636, HOLLY, CO 81047-0636
- **Mailing address phone:** (719) 537-6555
- **Mailing address fax:** (719) 537-6366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 0517 | CO | — |
| 315D00000X | Inpatient Hospice | — | NULL | Yes |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 07/12/2005
- **Last updated:** 09/11/2025