Provider Demographics
NPI:1861836306
Name:NORTH HILL NURSING AND REHABILITATION CENTER, LLC
Entity Type:Organization
Organization Name:NORTH HILL NURSING AND REHABILITATION CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-662-4955
Mailing Address - Street 1:3690 SOUTHWESTERN BLVD
Mailing Address - Street 2:P O BOX 0428
Mailing Address - City:ORCHARD PARK
Mailing Address - State:NY
Mailing Address - Zip Code:14127-1720
Mailing Address - Country:US
Mailing Address - Phone:716-662-4955
Mailing Address - Fax:716-667-9230
Practice Address - Street 1:200 N PINE HILL RD
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35217-1215
Practice Address - Country:US
Practice Address - Phone:205-238-8677
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-27
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL150890Medicaid
AL015091Medicare Oscar/Certification