Hills Creek Inc.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

HILLS CREEK INC.

Practice address

308 S 30TH St
Fort Pierce, FL 34947-7205

Phone

(772) 595-5565

Fax

(772) 595-6505

NPI assigned

Nov 8, 2018

Last updated

Nov 8, 2018By 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

Mr. Andrew Kissoon

Title

Administrator

Phone

(772) 201-7655

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1541635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541635200000",
    "number": "1649748518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 S 30TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349477205",
            "telephone_number": "772-595-5565",
            "fax_number": "772-595-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 S 30TH ST",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349477205",
            "telephone_number": "772-595-5565",
            "fax_number": "772-595-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLS CREEK INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-08",
        "last_updated": "2018-11-08",
        "status": "A",
        "authorized_official_last_name": "KISSOON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "772-201-7655",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Gibbs Hicks, ARNP NP-C
• Cecil Leroy Hicks
• Sabby Hightower
• Bernie Hill-Dodd, RRT
• Hills Creek Inc
• Khadijah S Hines
• /Mavis Hnson
• April Dawn Hobbs, PTA
• James R Hodge, DDS
• Hodges Convalescent AIDS, Inc (Osceola Home Care)

• Assisted Living Facility (Mental Illness) in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• Assisted Living Facility (Mental Illness) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; 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.