Organization Active NPI

Hillside Haven Carehome

  • Assisted Living Facility
  • Amarillo, TX
National Provider Identifier
1295065563
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
129042 Issued in TX
Legal business name
HILLSIDE HAVEN CAREHOME
Practice address
5230 Royce Dr
Amarillo, TX 79110-3012
Phone
(806) 358-7996
Fax
(806) 358-7958
NPI assigned
Jan 7, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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

Authorized official

Name
Linda Ann Todd
Title
Owner
Phone
(806) 358-7996

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 129042 TX Primary

Addresses

Primary practice location

5230 Royce Dr
Amarillo, TX 79110-3012

Mailing address

5230 Royce Dr
Amarillo, TX 79110-3012
Phone (806) 358-7996

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1262822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267056000000",
    "number": "1295065563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 ROYCE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103012",
            "telephone_number": "806-358-7996",
            "fax_number": "806-358-7958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 ROYCE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103012",
            "telephone_number": "806-358-7996",
            "fax_number": "806-358-7958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE HAVEN CAREHOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-07",
        "last_updated": "2010-02-25",
        "status": "A",
        "authorized_official_last_name": "TODD",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-358-7996"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "TX",
            "license": "129042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.