# HOLIDAY HEALTHCARE, LLC

> 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
- **Other names:** Holiday Resort
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659342301
- **Authorized official:** MR. MIKE SHANE KERBS LICENSED ADMIN. (ADMINISTRATOR)
- **Authorized official phone:** (620) 343-9285

## Contact information

- **Practice address:** 2700 W 30TH AVE, EMPORIA, KS 66801-9100
- **Practice address phone:** (620) 343-9285
- **Practice address fax:** (620) 343-1867
- **Mailing address:** 2700 W 30TH AVE, EMPORIA, KS 66801-9100
- **Mailing address phone:** (620) 343-9285
- **Mailing address fax:** (620) 343-1867

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N056007 | KS | Yes |

## Other

- **Enumeration date:** 01/31/2006
- **Last updated:** 11/17/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108180A | — | KS |
| 01 | — | 175173 | OSCAR | KS |