Provider Demographics
NPI:1336617836
Name:HILLCREST SILVER RIDGE LLC
Entity Type:Organization
Organization Name:HILLCREST SILVER RIDGE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:IN-HOUSE COUNSEL/COMPLIANCE DIRECTO
Authorized Official - Prefix:
Authorized Official - First Name:KRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:MAPLES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-682-4165
Mailing Address - Street 1:1902 HARLAN DR
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:NE
Mailing Address - Zip Code:68005-6602
Mailing Address - Country:US
Mailing Address - Phone:402-682-4800
Mailing Address - Fax:
Practice Address - Street 1:20332 HACKBERRY DR
Practice Address - Street 2:
Practice Address - City:GRETNA
Practice Address - State:NE
Practice Address - Zip Code:68028-4951
Practice Address - Country:US
Practice Address - Phone:402-682-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-02
Last Update Date:2018-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility