Provider Demographics
NPI:1508007352
Name:HILLCREST RESTHOME INC.
Entity Type:Organization
Organization Name:HILLCREST RESTHOME INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:D
Authorized Official - Last Name:WALKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-245-9765
Mailing Address - Street 1:2270 OAKLAND RD
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-6921
Mailing Address - Country:US
Mailing Address - Phone:828-245-9765
Mailing Address - Fax:828-245-9765
Practice Address - Street 1:2270 OAKLAND RD
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-6921
Practice Address - Country:US
Practice Address - Phone:828-245-9765
Practice Address - Fax:828-245-9765
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-08
Last Update Date:2009-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHAL-081-046310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility