Active NPI
Hillside Operator LLC
- Skilled Nursing Facility
- Saint Louis, MO
National Provider Identifier
1104590975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- HILLSIDE OPERATOR LLC
- Practice address
- 1265 McLaran Ave
Saint Louis, MO 63147-1606 - Phone
- (314) 388-4121
- NPI assigned
- Aug 5, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jacques Wolf
- Title
- Manager
- Phone
- (908) 421-1184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
1265 McLaran Ave
Saint Louis, MO 63147-1606
Mailing address
10 Grandview Dr
Lakewood, NJ 08701-3881
Other names 1
- Hillside Rehab and Healthcare Center
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Florissant, MO
- NPI 1184698243
-
- Internal Medicine Physician
- Hayti, MO
- NPI 1477660637
-
- Internal Medicine Physician
- Town and Country, MO
- NPI 1093813099
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1932638129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1628121600000",
"number": "1104590975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 GRANDVIEW DR",
"city": "LAKEWOOD",
"state": "NJ",
"postal_code": "087013881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1265 MCLARAN AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631471606",
"telephone_number": "314-388-4121"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILLSIDE OPERATOR LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-05",
"last_updated": "2021-08-05",
"certification_date": "2021-08-05",
"status": "A",
"authorized_official_last_name": "WOLF",
"authorized_official_first_name": "JACQUES",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "908-421-1184"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillside Rehab and Healthcare Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.