Provider Demographics
NPI:1023238920
Name:HOLMES, SARA ANN
Entity type:Individual
Prefix:MS
First Name:SARA
Middle Name:ANN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:SARA
Other - Middle Name:ANN
Other - Last Name:HOLMES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1702 E WILLIAM ST
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:IL
Mailing Address - Zip Code:62521-2071
Mailing Address - Country:US
Mailing Address - Phone:217-201-4009
Mailing Address - Fax:
Practice Address - Street 1:1150 ROUTE 54 WEST
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:IL
Practice Address - Zip Code:61727
Practice Address - Country:US
Practice Address - Phone:217-935-9496
Practice Address - Fax:217-935-2788
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2025-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator