Provider Demographics
NPI:1790867497
Name:HILLVIEW ACQUISITION CORPORATION
Entity Type:Organization
Organization Name:HILLVIEW ACQUISITION CORPORATION
Other - Org Name:HILLVIEW TERRACE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MS
Authorized Official - First Name:PATTI
Authorized Official - Middle Name:
Authorized Official - Last Name:WALLACE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:334-273-9002
Mailing Address - Street 1:100 PERRY HILL RD
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:AL
Mailing Address - Zip Code:36109-3630
Mailing Address - Country:US
Mailing Address - Phone:334-272-0171
Mailing Address - Fax:334-396-5575
Practice Address - Street 1:100 PERRY HILL RD
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36109-3630
Practice Address - Country:US
Practice Address - Phone:334-272-0171
Practice Address - Fax:334-396-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-20
Last Update Date:2012-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL12649314000000X
332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009936661Medicaid
AL47-58010SMedicaid
015436Medicare Oscar/Certification
AL009936661Medicaid