Hillcrest Convalescent Center, Inc.

LBN: Hillcrest Convalescent Center, Inc.
Hillcrest Convalescent Center, Inc. is an health care organization with primary practice located at 1417 W Pettigrew St , Durham NC 27705-4820. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Nursing & Custodial Care Facilities / Skilled Nursing Facility. Nursing & Custodial Care Facilities / Skilled Nursing Facility is the primary health care specialty. Hillcrest Convalescent Center, Inc. can be contacted via phone (919) 286-7705, or through Smith, Thomas Ted via phone (919) 286-7705.

Contact Information

Primary practice address
1417 W Pettigrew St Durham NC 27705-4820
Phone: (919) 286-7705
Fax: (919) 286-3772
Website:
Map and Directions
Authorized official contact:
Name: Smith, Thomas Ted NHA
Phone: (919) 286-7705

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X NH0038 North Carolina
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH0038 North Carolina

Profile Details

NPI number 1336142470
LBN Legal business name Hillcrest Convalescent Center, Inc.
DBA Doing business as
Authorized official Smith, Thomas Ted NHA
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2005
Last updated Jan 23rd, 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 1336142470 NPPES
North Carolina MEDICAID 3496052
North Carolina Other 3405001

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