Hillside Estate Inc
LBN: Hillside Estate Inc
Hillside Estate Inc is an health care organization with primary practice located at 2227 225Th St , Williamsburg IA 52361-8503. The organization recently has 3 registered licenses in different health care specialties including Nursing & Custodial Care Facilities / Custodial Care Facility, Nursing & Custodial Care Facilities / Adult Care Home, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Nursing & Custodial Care Facilities / Custodial Care Facility is the primary health care specialty.
Hillside Estate Inc can be contacted via phone (319) 668-1659, or through Van Patten, Nancy via phone (319) 668-1659.
Contact Information
Primary practice address
2227 225Th St
Williamsburg IA 52361-8503
Phone: (319) 668-1659
Fax: (319) 668-9863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Custodial Care Facility | 311Z00000X | R-653 | Iowa |
| Nursing & Custodial Care Facilities / Adult Care Home | 311ZA0620X | R-653 | Iowa |
| Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320600000X | R-653 | Iowa |
Profile Details
| NPI number | 1215080635 |
|---|---|
| LBN Legal business name | Hillside Estate Inc |
| DBA Doing business as | |
| Authorized official | Van Patten, Nancy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 19th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215080635 | NPPES |
| Iowa | MEDICAID | 0258624 | |
| Iowa | MEDICAID | 0455170 | |
| Iowa | MEDICAID | 0895219 |
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