Hillcrest Mable Rose, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HILLCREST MABLE ROSE, LLC

Doing business as

Hillcrest Mable Rose
Hillcrest Mable Rose - The Club

Practice address

4609 Hilltop St
Bellevue, NE 68133-3323

Phone

(402) 291-9777

Fax

(402) 682-6816

NPI assigned

Nov 5, 2021

Organization subpart

No

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

Authorized official

Name

Sharyl Ronan

Title

Ceo

Phone

(402) 682-4800

Specialties & licenses 2

Addresses

Other names 2

• Hillcrest Mable Rose Doing business as
• Hillcrest Mable Rose - The Club Doing business as

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644278400000",
    "number": "1548925498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1902 HARLAN DR STE A",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680056609",
            "telephone_number": "402-682-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4609 HILLTOP ST",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681333323",
            "telephone_number": "402-291-9777",
            "fax_number": "402-682-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST MABLE ROSE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A",
        "authorized_official_last_name": "RONAN",
        "authorized_official_first_name": "SHARYL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-682-4800"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Mable Rose",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hillcrest Mable Rose - The Club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hillcrest Caring Companions, LLC
• Hillcrest Health
• Hillcrest Home Care Inc.
• Hillcrest Home Care, Inc.
• Hillcrest Home Care, Inc.
• Najib Abdi Hilowle
• Corianne Marie Himes
• Alison R Hind, PHARM.D.
• Jeremiah Jacob Hindman
• Jacqueline Hinds

• Assisted Living Facility in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.