Hillcrest Development Company LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0007 Issued in NE

Legal business name

HILLCREST DEVELOPMENT COMPANY LLC

Doing business as

Hillcrest Country Estates

Practice address

6082 Grand Lodge Ave
Papillion, NE 68133-3200

Phone

(402) 885-7000

Fax

(402) 885-7001

NPI assigned

Aug 19, 2008

Last updated

Oct 16, 2020By 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

Ms. Jolene Mathison Roberts

Title

President

Phone

(402) 682-4800

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• HILLCREST COUNTRY ESTATES Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Travis Shane Young, MSW

  • Clinical Social Worker
  • Omaha, NE
  • NPI 1912693201
  NPD

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1619124849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6082 GRAND LODGE AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333200",
            "telephone_number": "402-885-7000",
            "fax_number": "402-885-7001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6082 GRAND LODGE AVE",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681333200",
            "telephone_number": "402-885-7000",
            "fax_number": "402-885-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST DEVELOPMENT COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-19",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "MATHISON ROBERTS",
        "authorized_official_first_name": "JOLENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-682-4800",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NE",
            "license": "NH0007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SKILLED NURSING FACILITY LICENSE",
            "identifier": "NH0007",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HILLCREST COUNTRY ESTATES",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HILLCREST COUNTRY ESTATES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Hill
• Amy Hill
• Chelsea Hill
• Elizabeth Anne Hill
• Shi'Randi A Hill
• Hillcrest Shadow Lake LLC
• Hillcrest Shadow Lake, LLC (Hillcrest Shadow Lake)
• Sophia Hiller
• Micala Hinkle
• Alyssa Ann Hinze

• Skilled Nursing Facility in Papillion, NE
• Providers in Papillion, NE by specialty
• Skilled Nursing Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.