Hillcrest Nursing Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HILLCREST NURSING HOME

Practice address

4280 Cypress Dr
San Bernardino, CA 92401

Phone

(909) 882-3966

Fax

(909) 886-2895

NPI assigned

Nov 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Chona B Bautista

Title

Business Office Manager

Phone

(909) 373-3766

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144308495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4280 CYPRESS DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401",
            "telephone_number": "909-882-3966",
            "fax_number": "909-886-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4280 CYPRESS DR",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "92401",
            "telephone_number": "909-882-3966",
            "fax_number": "909-886-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST NURSING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "CHONA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "909-373-3766",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZT18156K",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyndall Renae Hill, PA-C
• Lucius Jr Hill Jr., DPM
• Mildred Pearl Hill
• Tauno William Hill, MD
• Tonya Hill
• Dennis A Hilliard, M.D.
• Pauline (Tony) Antoinette Hilton, NP
• Yvette Hinton
• Kristine Hirayama, PSY.D.
• Miriam Hita

• Assisted Living Facility in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Assisted Living Facility in California

• 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.