Provider Demographics
NPI:1184420200
Name:HOLDEN, JOY
Entity type:Individual
Prefix:
First Name:JOY
Middle Name:
Last Name:HOLDEN
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15375 SALTILLO RD
Mailing Address - Street 2:
Mailing Address - City:BENNET
Mailing Address - State:NE
Mailing Address - Zip Code:68317-2404
Mailing Address - Country:US
Mailing Address - Phone:402-440-3779
Mailing Address - Fax:
Practice Address - Street 1:15375 SALTILLO RD
Practice Address - Street 2:
Practice Address - City:BENNET
Practice Address - State:NE
Practice Address - Zip Code:68317-2404
Practice Address - Country:US
Practice Address - Phone:402-440-3779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-20
Last Update Date:2025-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE40183219385H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes385H00000XRespite Care FacilityRespite Care