Hillcrest of Wayzatta Operations LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HILLCREST OF WAYZATTA OPERATIONS LLC

Doing business as

Hillcrest of Wayzata Rehabilitation and Healthcare Center

Practice address

15409 Wayzata Blvd
Wayzata, MN 55391-1402

Phone

(952) 473-5466

Fax

(852) 473-6842

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By 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. Ephram Lahasky

Title

President

Phone

(646) 772-3668

Specialties & licenses 1

Addresses

Other names 1

• Hillcrest of Wayzata Rehabilitation and Healthcare Center Doing business as

Locations

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1558806810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15409 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911402",
            "telephone_number": "952-473-5466",
            "fax_number": "852-473-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15409 WAYZATA BLVD",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553911402",
            "telephone_number": "952-473-5466",
            "fax_number": "852-473-6842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST OF WAYZATTA OPERATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "LAHASKY",
        "authorized_official_first_name": "EPHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-772-3668",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest of Wayzata Rehabilitation and Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Darlene Heimerl, M.A.
• Julia Ann Herman, D.D.S
• Lee Ann Hertzog Donovan, CPNP
• Erica L Hertzog, PHN
• Jonathan Hess
• Barbara Joanne Hilleren, MA, LP
• Harry Mark Hoberman, PH.D.
• Judith Marie Hock
• Erin Holland, AU.D.
• Nicole Holmes, D.D.S.

• Skilled Nursing Facility in Wayzata, MN
• Providers in Wayzata, MN by specialty
• Skilled Nursing Facility in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2016; 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.