Provider Demographics
NPI:1801504527
Name:HILLVIEW HEALTHCARE CENTER, LLC
Entity type:Organization
Organization Name:HILLVIEW HEALTHCARE CENTER, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:BRANDI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-306-1066
Mailing Address - Street 1:365 E. CAMPBELL AVE.
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-2013
Mailing Address - Country:US
Mailing Address - Phone:503-306-1066
Mailing Address - Fax:408-778-1826
Practice Address - Street 1:530 W DUNNE AVE.
Practice Address - Street 2:
Practice Address - City:MORGAN HILL
Practice Address - State:CA
Practice Address - Zip Code:95037-4823
Practice Address - Country:US
Practice Address - Phone:408-779-3633
Practice Address - Fax:408-778-1826
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PHYTONIC HOLDING LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1801504527Medicaid