Hillcrest Raleigh at Crabtree, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0428 Issued in NC

Legal business name

HILLCREST RALEIGH AT CRABTREE, LLC

Doing business as

Hillcrest Raleigh at Crabtree

Practice address

3830 Blue Ridge Rd
Raleigh, NC 27612-4319

Phone

(919) 781-4900

NPI assigned

Apr 27, 2015

Last updated

Jan 23, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HILLCREST CONVALESCENT CENTER, INCAs reported in NPPES

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

Authorized official

Name

Mr. William Heffner Hoover II

Title

Cfo

Phone

(919) 286-7705

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillcrest Raleigh at Crabtree Doing business as

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639556806. Details of each certification follow.

• CCN 345555 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 345555

Legal name

HILLCREST RALEIGH AT CRABTREE, LLC

Doing business as

HILLCREST RALEIGH AT CRABTREE VALLEY

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF distinct part

Participating since

Nov 8, 2012

Last certification

Mar 20, 2025

Beds

134

Ownership / control type

Corporation

Multi-facility organization

Hillcrest Convalescent Inc

Organization structure

LLCProprietary

Incorporated

Feb 10, 2015 in NC

Enrollment address

3830 Blue Ridge Road
Raleigh, NC 27612-4319

Nursing home name

HILLCREST RALEIGH AT CRABTREE VALLEY

Listed as

Hillcrest Raleigh at Crabtree ValleyCCN 345555 · All quality measures

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Nov 8, 2012

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

13494.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Hillcrest Convalescent Center Inc

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Hillcrest Convalescent Center, Inc.

  • Skilled Nursing Facility
  • Durham, NC
  • NPI 1336142470

  Member Of

  NPD member

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Hillcrest Convalescent Center, Inc.

  • Skilled Nursing Facility
  • Durham, NC
  • NPI 1336142470

  5% Or Greater Direct Ownership Interest, Adp of the SNF

  CMS ownership
• Dabiruddin Humayun, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1538260211

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Lenwood Perkins Smith Jr., M.D.

  • General Practice Physician
  • Durham, NC
  • NPI 1750348777

  5% Or Greater Indirect Ownership Interest, Indirect Ownership Interest

  CMS ownership

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.

• Dabiruddin Humayun, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1538260211
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Dabiruddin Humayun, MD

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1538260211

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1639556806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1417 W PETTIGREW ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277054820",
            "telephone_number": "919-286-7705",
            "fax_number": "919-286-3772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 BLUE RIDGE RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276124319",
            "telephone_number": "919-781-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST RALEIGH AT CRABTREE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLCREST CONVALESCENT CENTER, INC",
        "enumeration_date": "2015-04-27",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A",
        "authorized_official_last_name": "HOOVER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HEFFNER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "919-286-7705",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3405555",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Raleigh at Crabtree",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sydney Paige Hill, AUD
• Thomas Jason Hill, LCSW
• Tiffany Hill
• Virginia D Hill, LPC, CRC, R-DMT
• Hillcrest Family Care Home Facilities
• Debra L Hiller, PHARMD
• Alfred Ray Hilliard Jr., COTA/L
• Angelique Lynn Hilliard
• Cassandra Schroder Hillman, OTR
• Philip L Hillsman, MD

• Skilled Nursing Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2020; 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.

Verify at the official NPI Registry.