Sally Jo Holloway
Adult Companion in Merritt Island, FL. Individual provider (NPI-1).
NPI number1477536050
StatusActive
Last updated in NPPESMar 30, 2011
Details
- NPI
- 1477536050
- Entity type
- Individual (NPI-1)
- Name
- Ms. Sally Jo Holloway
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 28, 2005
- Last updated
- Mar 30, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 373H00000X | Day Training/Habilitation Specialist | – | – |
Practice location
2070 Temple AveMerritt Island, FL 32953-4221
Phone 321-453-8976 · Fax 321-453-8976
Mailing address
2070 Temple AveMerritt Island, FL 32953-4221
Phone 321-453-8976 · Fax 321-453-8976
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Adult Companion providers in Merritt Island, FL
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.