Provider Demographics
NPI:1710395801
Name:HILLCREST HOME HEALTH OF THE TRIANGLE LLC
Entity Type:Organization
Organization Name:HILLCREST HOME HEALTH OF THE TRIANGLE LLC
Other - Org Name:HILLCREST HOME HEALTH OF THE TRIANGLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:H
Authorized Official - Last Name:HOOVER
Authorized Official - Suffix:II
Authorized Official - Credentials:
Authorized Official - Phone:919-286-7705
Mailing Address - Street 1:1000 BEAR CAT WAY
Mailing Address - Street 2:SUITE 104
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6619
Mailing Address - Country:US
Mailing Address - Phone:919-286-7705
Mailing Address - Fax:919-286-3772
Practice Address - Street 1:1000 BEAR CAT WAY
Practice Address - Street 2:SUITE 104
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6619
Practice Address - Country:US
Practice Address - Phone:919-286-7705
Practice Address - Fax:919-286-3772
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLCREST CONVALESCENT CENTER INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-08-01
Last Update Date:2015-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3074251E00000X, 253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health