Hillside Senior Living Community, LLC

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

1022025704 Issued in OR

Legal business name

HILLSIDE SENIOR LIVING COMMUNITY, LLC

Practice address

300 NW Hillside Park Way
McMinnville, OR 97128

Phone

(503) 472-9534

Fax

(503) 883-7477

NPI assigned

May 10, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Rene Dumas

Title

Administrator-Campus Director

Phone

(503) 472-9534

Specialties & licenses 1

Addresses

Other names 1

• The Village at Hillside Other name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003020686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NW HILLSIDE PARK WAY",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-9534",
            "fax_number": "503-883-7477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NW HILLSIDE PARK WAY",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "97128",
            "telephone_number": "503-472-9534",
            "fax_number": "503-883-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE SENIOR LIVING COMMUNITY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "RENE",
        "authorized_official_title_or_position": "ADMINISTRATOR-CAMPUS DIRECTOR",
        "authorized_official_telephone_number": "503-472-9534",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OR",
            "license": "1022025704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Village at Hillside",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Trev Kathleen Higgins
• Gregor A. Hill, ATC
• Krista Dawn Hill
• Richard Hill, D.C.
• Hillside
• Jordan Hinchman, CADC I
• Jeff Hindley
• Craig Hinrichs, MA, QMHP
• Michele Hislop, BA, QMHA, LMT
• Holly Hoch, MD

• Nursing Facility/Intermediate Care Facility in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Nursing Facility/Intermediate Care Facility in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.