Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Elderly Living Center of Holly Hill, Inc

Assisted Living Facility in Holly Hill, FL · enumerated 2023 · authorized official Kelly Lucas, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366210809

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Elderly Living Center of Holly Hill, Inc

Practice address 810 Oleander Ave, Holly Hill, FL, 32117

Phone (407) 810-7841

Enumeration date Dec 14, 2023

Last updated in NPPES Dec 18, 2023

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kelly Lucas

Title President

Phone (407) 810-7841

Other identifiers

Identifier	Type	State	Issuer
102518900	Medicaid	FL	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2023-12-18. Verify at npiregistry.cms.hhs.gov.

Where is Elderly Living Center of Holly Hill, Inc located?

The practice location on file with NPPES is in Holly Hill, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-12-18.