Provider Demographics
NPI:1093444366
Name:HILLSIDE CARE FACILITY INC
Entity Type:Organization
Organization Name:HILLSIDE CARE FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMINA
Authorized Official - Middle Name:
Authorized Official - Last Name:KASHIF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:908-812-9514
Mailing Address - Street 1:29 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-2228
Mailing Address - Country:US
Mailing Address - Phone:908-812-9514
Mailing Address - Fax:
Practice Address - Street 1:29 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2228
Practice Address - Country:US
Practice Address - Phone:908-812-9514
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-10
Last Update Date:2022-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home