Active NPI
Mission Interests Committee Inc.
Doing business as Hillcrest Home
- Skilled Nursing Facility
- Harrison, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 206
- Legal business name
- MISSION INTERESTS COMMITTEE INC.
- Doing business as
- Hillcrest Home
- Practice address
- 1111 Maplewood Rd
Harrison, AR 72601-3005 - Phone
- (870) 741-5001
- NPI assigned
- Mar 27, 2006
- Last updated
- Jun 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Phillip Lavern Yoder, LNHA
- Title
- Administrator
- Phone
- (870) 741-5001
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 206 | AR | Primary |
Addresses
Primary practice location
1111 Maplewood Rd
Harrison, AR 72601-3005
Mailing address
1111 Maplewood Rd
Harrison, AR 72601-3005
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184820311 | Medicaid | AR |
Other names 1
- Hillcrest Home
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101206000757 | AR | Part A Provider - Skilled Nursing Facility | 7719174507 | Practice locations: Harrison, AR |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1598725939. Details of each certification follow.
Skilled nursing facility certification: CCN 045441
- Legal name
- MISSION INTERESTS COMMITTEE INC
- Doing business as
- HILLCREST HOME
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Mar 18, 2011
- Last certification
- May 9, 2025
- Beds
- 103
- Ownership / control type
- Nonprofit Corporation
- Organization structure
- Corporation
- Incorporated
- Oct 6, 1955 in AR
- Enrollment address
- 1111 Maplewood Rd
Harrison, AR 72601-3005 - Nursing home name
- HILLCREST HOME
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hillcrest Home
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Mar 18, 2011
- Medicare certification status
- Active
- Certified beds
- 103
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 04D0911971 | Hillcrest Home | Certificate of waiver | Feb 19, 2028 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 6
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Steve Swartzentruber | Corporate Director | Jan 1, 2011 | 20% |
| Omar Miller | Operational/Managerial Control | Jan 1, 2023 | |
| Mark Peachey | Corporate Director | Apr 4, 2015 | 20% |
| Mission Interests Committee Inc | 5% Or Greater Direct Ownership Interest | Jan 1, 1966 | 100% |
| Charlotte Jurgena | Operational/Managerial Control | Jan 6, 2000 | |
| Phillip Yoder | Corporate Officer | Jan 1, 2015 | 50% |
| Operational/Managerial Control | Jan 1, 2023 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
Clinicians who list this facility as an affiliation in Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686873600000",
"number": "1598725939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 MAPLEWOOD RD",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MAPLEWOOD RD",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013005",
"telephone_number": "870-741-5001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION INTERESTS COMMITTEE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2023-06-16",
"certification_date": "2023-06-16",
"status": "A",
"authorized_official_last_name": "YODER",
"authorized_official_first_name": "PHILLIP",
"authorized_official_middle_name": "LAVERN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "870-741-5001",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "AR",
"license": "206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184820311",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillcrest Home",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hillcrest Home",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.