Hillside Haven Care LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HILLSIDE HAVEN CARE LLC

Practice address

5230 Royce Dr
Amarillo, TX 79110-3012

Phone

(806) 268-8921

NPI assigned

Jan 19, 2021

Organization subpart

No

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

Authorized official

Name

Holly Ellis

Title

Administrator

Phone

(806) 268-8921

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1611014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611014400000",
    "number": "1609466283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5230 ROYCE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103012",
            "telephone_number": "806-268-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5230 ROYCE DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791103012",
            "telephone_number": "806-268-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE HAVEN CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-19",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "806-268-8921"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jesica E Hill, LMSW
• Regan Hill
• Truman Gordon Hill II, PTA
• Brooke Hillard
• Hillside Family Health Clinic PA
• Hillside Haven Carehome
• Gary J Hilton, MD
• Brooke Himic, APRN, FNP-C
• Barbara Delois Hinders, LPC
• Sydney Hinds

• Assisted Living Facility in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Assisted Living Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.