Healthcare Provider Details

I. General information

NPI: 1255151213
Provider Name (Legal Business Name): BARBARA HOLLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2024
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

552 MEMORIAL DRIVE EXT STE 202
GREER SC
29651-1135
US

IV. Provider business mailing address

552 MEMORIAL DRIVE EXT STE 202
GREER SC
29651-1135
US

V. Phone/Fax

Practice location:
  • Phone: 864-607-5919
  • Fax:
Mailing address:
  • Phone: 864-607-5919
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: