Organization Active NPI

Hillcrest Convalescent Center, Inc.

  • Rehabilitation Clinic/Center
  • Durham, NC
National Provider Identifier
1659901130
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
HILLCREST CONVALESCENT CENTER, INC.
Practice address
4215 University Dr Ste B2
Durham, NC 27707-2550
Phone
(919) 627-6700
Fax
(919) 627-6627
NPI assigned
Jan 23, 2020
Organization subpart
Yes
Parent organization
HILLCREST CONVALESCENT CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Clinic/Center 261QR0400X Primary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

Addresses

Primary practice location

4215 University Dr Ste B2
Durham, NC 27707-2550

Mailing address

1417 W Pettigrew St
Durham, NC 27705-4820
Phone (919) 286-7705

Other names 1

  • Hillcrest Physical Therapy and Wellness Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Hillcrest Convalescent Center Inc3 organizations share this tax ID, including this one
Part of
Hillcrest Convalescent Center Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4215 University Dr
Ste B2
Durham, NC 27707
Phone (919) 627-6700

NPI Registry JSON

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

{
    "created_epoch": "1579737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579737600000",
    "number": "1659901130",
    "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": "4215 UNIVERSITY DR STE B2",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277072550",
            "telephone_number": "919-627-6700",
            "fax_number": "919-627-6627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CONVALESCENT CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILLCREST CONVALESCENT CENTER, INC.",
        "enumeration_date": "2020-01-23",
        "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": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Physical Therapy and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durham, NC

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.