Provider Demographics
NPI:1417174038
Name:HILL VIEW FAMILY CARE HOME #1
Entity Type:Organization
Organization Name:HILL VIEW FAMILY CARE HOME #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROGER
Authorized Official - Middle Name:
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:1336-877-5513
Mailing Address - Street 1:523 MILT HOUCK RD
Mailing Address - Street 2:
Mailing Address - City:TODD
Mailing Address - State:NC
Mailing Address - Zip Code:28684-9301
Mailing Address - Country:US
Mailing Address - Phone:133-687-7551
Mailing Address - Fax:133-687-7551
Practice Address - Street 1:523 MILT HOUCK RD
Practice Address - Street 2:
Practice Address - City:TODD
Practice Address - State:NC
Practice Address - Zip Code:28684-9301
Practice Address - Country:US
Practice Address - Phone:133-687-7551
Practice Address - Fax:133-687-7551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCFLC-005-005310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility