HILLCREST RESIDENTIAL CARE, (NPI# 1700486859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700486859 |
| Entity Type | Organization |
| Organization Name | HILLCREST RESIDENTIAL CARE, |
| Practice Address |
9415 N North Browns Station Rd Columbia MO 65202-8671 |
| Mailing Address |
8491 E Mount Zion Church Rd Hallsville MO 65255-9056 |
| Practice Telephone | 5736963201 |
| Mailing Telephone | 5739990120 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Authorized Official Name | PENNY WORTHLEY (OWNER) |
| Authorized Official Telephone | 5736963201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | M266721109 | 05 |
| Other Name | Type Code |
|---|---|
| Hillcrest Assisted Living | Doing Business As Name - Organization |
| Street Address |
9415 N NORTH BROWNS STATION RD |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65202-8671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374629 | Curators of The University of Missouri | Pharmacy | 7115 East St. Charles Road, Columbia, MO 65202 | 2020-10-21 |
| 1245871540 | Ranshell Micole Harrington | Registered Nurse | 7455 Noah Court Columbia, Mo65202, Columbia, MO 65202 | 2019-10-08 |
| 1326514381 | Clark Supported Living | Registered Nurse | 303 Macaw Dr, Columbia, MO 65202 | 2018-10-17 |
| 1851873608 | Phoenix Programs, Inc. | Counselor | 90 E. Leslie Ln., Columbia, MO 65202 | 2018-08-29 |
| 1760973044 | Centerpointe Hospital of Columbia, LLC | Psychiatric Hospital | 1201 International Drive, Columbia, MO 65202 | 2018-05-23 |
| 1710409198 | Lena-frances Sheets | Counselor | 3509 Deer Run Drive, Columbia, MO 65202 | 2017-07-07 |
| 1235669037 | Henry William Clark | Counselor | 409 Vandiver West Bldg 6, Suite 102a, Great Circle, Columbia, MO 65202 | 2017-06-14 |
| 1083065148 | Waleed Raheem Abood Abood | Psychiatry & Neurology | 1 Hospital Drive, Ste 507, Columbia, MO 65202 | 2016-06-29 |
| 1871993923 | Li Ma | Physician Assistant | 1909 Mayberry Drive, Columbia, MO 65202 | 2014-08-26 |
| 1134543614 | Meghan Lees | Nurse Anesthetist, Certified Registered | 4608 Waterloo Driv, Ste 170, Columbia, MO 65202 | 2014-02-05 |
| Find all providers in zip 65202 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533049 | Ahc Sterling House of Harbison, LLC | Assisted Living Facility | 51 Woodcross Dr, Columbia, SC 29212-2350 | 2020-09-16 |
| 1922614866 | Brookdale Senior Living Communities, Inc. | Assisted Living Facility | 251 Springtree Dr, Columbia, SC 29223-7989 | 2020-09-16 |
| 1356983027 | Bella Vista Continued Care Home | Assisted Living Facility | 1435 Bella Vista Dr, Columbia, SC 29223-7201 | 2019-10-14 |
| 1326695321 | Snh Md Tenant LLC | Assisted Living Facility | 8220 Snowden River Pkwy, Columbia, MD 21045-1942 | 2019-08-23 |
| 1770056392 | Assured Care Group | Assisted Living Facility | 10227 Wincopin Cir Unit 1206, Columbia, MD 21044-6517 | 2019-01-07 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1700235819 | East Coast Al Holdings, LLC | Assisted Living Facility | 950 Hwy 64 East, Columbia, NC 27925 | 2016-06-09 |
| 1053787663 | Fc Midlands Kathwood, LLC | Assisted Living Facility | 4520 Trenholm Rd, Columbia, SC 29206-4425 | 2015-08-18 |
| 1740664598 | Rouse Community Care Home | Assisted Living Facility | 8809 Wilson Blvd, Columbia, SC 29203-1817 | 2015-07-10 |
| 1043699846 | Americare At Mill Creek Village Assisted Living LLC | Assisted Living Facility | 1990 South Hampton Drive, Columbia, MO 65203 | 2015-05-26 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on HILLCREST RESIDENTIAL CARE,.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.