Provider Demographics
NPI:1902007461
Name:SUNRISE HILLCREST SENIOR LIVING, LLC
Entity Type:Organization
Organization Name:SUNRISE HILLCREST SENIOR LIVING, LLC
Other - Org Name:SUNRISE SENIOR LIVING OF HILLCREST
Other - Org Type:Other Name
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JERRY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDONALD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-385-5267
Mailing Address - Street 1:13001 HILLCREST RD
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75240-5402
Mailing Address - Country:US
Mailing Address - Phone:972-385-5267
Mailing Address - Fax:
Practice Address - Street 1:13001 HILLCREST RD
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-5402
Practice Address - Country:US
Practice Address - Phone:972-385-5267
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX118647310400000X
TX101208311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Not Answered311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)