Provider Demographics
NPI:1972665511
Name:ROLLING HILLS HOSPITAL LLC
Entity Type:Organization
Organization Name:ROLLING HILLS HOSPITAL LLC
Other - Org Name:NASHVILLE REHABILITATION HOSPITAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:TOUBY
Authorized Official - Middle Name:
Authorized Official - Last Name:WITZKY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-650-2588
Mailing Address - Street 1:610 GALLATIN AVE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37206-3225
Mailing Address - Country:US
Mailing Address - Phone:615-650-2588
Mailing Address - Fax:615-650-2565
Practice Address - Street 1:610 GALLATIN AVE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37206-3225
Practice Address - Country:US
Practice Address - Phone:615-650-2588
Practice Address - Fax:615-650-2565
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes273Y00000XHospital UnitsRehabilitation Unit
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY0162197800Medicaid
44T026Medicare ID - Type Unspecified