Provider Demographics
NPI:1710018858
Name:HILLCREST ADULT CARE FACILITY, INC.
Entity Type:Organization
Organization Name:HILLCREST ADULT CARE FACILITY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:VICKI
Authorized Official - Middle Name:D
Authorized Official - Last Name:SEARCY
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:828-245-5962
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:828-245-5962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804143Medicaid