Provider Demographics
NPI:1649267915
Name:HILLVIEW NURSING HOME, INC.
Entity type:Organization
Organization Name:HILLVIEW NURSING HOME, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONNICE
Authorized Official - Middle Name:J
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:318-281-0322
Mailing Address - Street 1:650 HOLT STREET
Mailing Address - Street 2:P.O. BOX 667
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-0650
Mailing Address - Country:US
Mailing Address - Phone:318-281-0322
Mailing Address - Fax:318-281-3770
Practice Address - Street 1:650 HOLT STREET
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-0650
Practice Address - Country:US
Practice Address - Phone:318-281-0322
Practice Address - Fax:318-281-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA895313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility