Organization Active NPI

Hillcrest Nursing and Rehabilitation Center LLC

  • Skilled Nursing Facility
  • Joliet, IL
National Provider Identifier
1366764995
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
0050690 Issued in IL
Legal business name
HILLCREST NURSING AND REHABILITATION CENTER LLC
Practice address
777 Draper Ave
Joliet, IL 60432-1417
Phone
(815) 727-4794
Fax
(815) 727-1026
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Joe Zimmerman
Title
Ceo
Phone
(847) 905-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 0050690 IL Primary

Addresses

Primary practice location

777 Draper Ave
Joliet, IL 60432-1417

Mailing address

777 Draper Ave
Joliet, IL 60432-1417
Phone (815) 727-4794

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1366764995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 DRAPER AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321417",
            "telephone_number": "815-727-4794",
            "fax_number": "815-727-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 DRAPER AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604321417",
            "telephone_number": "815-727-4794",
            "fax_number": "815-727-1026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST NURSING AND REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-905-4000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0050690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.