Hillcrest Convalescent Hospital Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

ZZT05364F Issued in CA

Legal business name

HILLCREST CONVALESCENT HOSPITAL INC

Practice address

3401 Cedar Ave
Long Beach, CA 90807-4422

Phone

(562) 426-4461

Fax

(562) 426-5731

NPI assigned

Nov 14, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Brad O. Dehaan

Title

Administrator

Phone

(562) 426-4461

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320624000000",
    "number": "1174695175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074422",
            "telephone_number": "562-426-4461",
            "fax_number": "562-426-5731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 CEDAR AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074422",
            "telephone_number": "562-426-4461",
            "fax_number": "562-426-5731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CONVALESCENT HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2011-11-07",
        "status": "A",
        "authorized_official_last_name": "DEHAAN",
        "authorized_official_first_name": "BRAD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "562-426-4461",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CA",
            "license": "ZZT05364F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Hill
• Philip E Hill, M.D.
• Portya Hill
• Teauna Hill
• Xavier Jemar Hill, PHARMD
• David S Hillinger, D.D.S.
• Kelsey McKinsey Hillis, MSW, ACSW
• Mildred V Hillman, D.P.T.
• Star Hillman
• Dawn M Hills, M.D.

• Skilled Nursing Facility in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Skilled Nursing Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2011; 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.