Bellecrest LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH1402 Issued in OK

Legal business name

BELLECREST LLC

Doing business as

Hillcrest Nursing Center

Practice address

2120 N Broadway St
Moore, OK 73160-4408

Phone

(405) 794-2428

Fax

(405) 794-2253

NPI assigned

Sep 5, 2006

Last updated

Aug 22, 2020By 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

Mr. David Thompson

Title

Sole Member/Manger

Phone

(405) 879-0102

Specialties & licenses 1

Addresses

Other names 1

• Hillcrest Nursing Center Doing business as

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285736660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604408",
            "telephone_number": "405-794-2428",
            "fax_number": "405-794-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604408",
            "telephone_number": "405-794-2428",
            "fax_number": "405-794-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLECREST LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "SOLE MEMBER/MANGER",
        "authorized_official_telephone_number": "405-879-0102",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OK",
            "license": "NH1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Mechelle Bell
• Pierson Michael Bell
• Valerie Bell, APRN
• Whitney Dawn Bell
• Bellecrest Homes LLC (Hillcrest Living Center)
• Charles Bender
• Kalin Bender, LPC
• Kelly Bender, LPC
• Brandon Lee Benear
• Paige Bickel, PT, DPT

• Skilled Nursing Facility in Moore, OK
• Providers in Moore, OK by specialty
• Skilled Nursing Facility in Oklahoma

• 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.