Provider Demographics
NPI:1881194330
Name:HOLLYBROOK CARE, INC.
Entity Type:Organization
Organization Name:HOLLYBROOK CARE, INC.
Other - Org Name:BEEHIVE HOMES OF POWELL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KELLY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:LOHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-808-2881
Mailing Address - Street 1:7815 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37938-4606
Mailing Address - Country:US
Mailing Address - Phone:865-809-2881
Mailing Address - Fax:
Practice Address - Street 1:1301 W BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:POWELL
Practice Address - State:TN
Practice Address - Zip Code:37849-4430
Practice Address - Country:US
Practice Address - Phone:865-809-2881
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-20
Last Update Date:2019-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility