Hilltop Nursing Home, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0005405 Issued in IL

Legal business name

HILLTOP NURSING HOME, INC

Practice address

910 W Polk Ave
Charleston, IL 61920-1707

Phone

(217) 345-7066

Fax

(217) 345-6017

NPI assigned

May 27, 2006

Last updated

Aug 22, 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

Jerry Jennings

Title

Controller

Phone

(217) 787-8530

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639126436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2653 W LAWRENCE AVE",
            "address_2": "SUITE B",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627041115",
            "telephone_number": "217-787-8530",
            "fax_number": "217-787-9840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W POLK AVE",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619201707",
            "telephone_number": "217-345-7066",
            "fax_number": "217-345-6017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "217-787-8530"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IL",
            "license": "0005405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Hilltop Care and Rehabilitation Center LLC
• Hilltop Care and Rehabilitation Center LLC
• Hilltop Nursing Home, Inc
• Kadarrious Hooks, BA
• Amanda Ann Hosey, AFNP
• William Henry Houseworth, M.D.
• Donna Turner Hudson

• Skilled Nursing Facility in Charleston, IL
• Providers in Charleston, IL by specialty
• Skilled Nursing Facility in Illinois

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