Hillcrest Home

LBN: Clearwater Care Center, Inc.
Hillcrest Home is an health care organization with primary practice located at 1411 Falls Ave E Suite 703, Twin Falls ID 83301-3455. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded, which is considered as the primary health care specialty. Clearwater Care Center, Inc. can be contacted via phone (208) 734-8973, or through Stephens, Rene via phone (208) 734-8973.

Contact Information

Primary practice address
1411 Falls Ave E Suite 703 Twin Falls ID 83301-3455
Phone: (208) 734-8973
Fax: (208) 734-1075
Website:
Map and Directions
Authorized official contact:
Name: Stephens, Rene
Phone: (208) 734-8973

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Intermediate Care Facility, Mentally Retarded 315P00000X

Profile Details

NPI number 1972726503
LBN Legal business name Clearwater Care Center, Inc.
DBA Doing business as Hillcrest Home
Authorized official Stephens, Rene
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972726503 NPPES
Idaho MEDICAID 0026132

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