Hillcrest Silver Ridge, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HILLCREST SILVER RIDGE, LLC

Doing business as

Hillcrest Silver Ridge

Practice address

20332 Hackberry Dr
Gretna, NE 68028-4951

Phone

(402) 332-4280

Fax

(402) 905-2319

NPI assigned

Nov 22, 2021

Last updated

Nov 22, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jolene L Mathison Roberts

Title

President

Phone

(402) 682-4800

Specialties & licenses 1

Addresses

Other names 1

• Hillcrest Silver Ridge Doing business as

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

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1637539200000",
    "number": "1063179257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARLAN DR STE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056609",
            "telephone_number": "402-682-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20332 HACKBERRY DR",
            "city": "GRETNA",
            "state": "NE",
            "postal_code": "680284951",
            "telephone_number": "402-332-4280",
            "fax_number": "402-905-2319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST SILVER RIDGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "MATHISON ROBERTS",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-682-4800"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Silver Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Gretna, NE
• Providers in Gretna, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2021; 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.