Hillsborough Extended Care, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

TBD Issued in FL

Legal business name

HILLSBOROUGH EXTENDED CARE, LLC

Doing business as

NuVista Living at Hillsborough Lakes

Practice address

19091 Dale Mabry Hwy N
Lutz, FL 33548-4982

Phone

(561) 366-6600

NPI assigned

Sep 1, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Paul M Walczak II

Title

Manager

Phone

(561) 366-6600

Specialties & licenses 1

Addresses

Other names 1

• NuVista Living at Hillsborough Lakes Doing business as

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

{
    "created_epoch": "1283299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1558678284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31809",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334201809",
            "telephone_number": "561-366-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19091 DALE MABRY HWY N",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484982",
            "telephone_number": "561-366-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSBOROUGH EXTENDED CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-01",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "WALCZAK",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "561-366-6600",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "FL",
            "license": "TBD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NuVista Living at Hillsborough Lakes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Higgins Wellness Center LLC
• Harrison Higgins, DC
• James T Highsmith, MD, MS
• Makenzie Jane Hilgenberg, PA-C
• Jamel Hill, MD
• Huy P Ho, PHARM.D.
• Robert Hochberg, DDS
• Kiara Hodge
• Danielle Hoeppner
• Kaylee Elizabeth Hogg

• Skilled Nursing Facility in Lutz, FL
• Providers in Lutz, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.