Organization Active NPI

Hillside Care Center, Inc.

  • Assisted Living Facility
  • Hannibal, MO
National Provider Identifier
1679792964
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
032545 Issued in MO
Legal business name
HILLSIDE CARE CENTER, INC.
Practice address
321 N Section St
Hannibal, MO 63401-3460
Phone
(573) 221-1439
Fax
(573) 406-1232
NPI assigned
Apr 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brandi Lenae Lionberger, B.S.
Title
Secretary
Phone
(573) 221-1439

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 032545 MO Primary
Assisted Living Facility 310400000X 24969410 MO

Addresses

Primary practice location

321 N Section St
Hannibal, MO 63401-3460

Mailing address

321 N Section St
P.O. Box 308
Hannibal, MO 63401-3460
Phone (573) 221-1439

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679792964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 N SECTION ST",
            "address_2": "P.O. BOX 308",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013460",
            "telephone_number": "573-221-1439",
            "fax_number": "573-406-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 N SECTION ST",
            "city": "HANNIBAL",
            "state": "MO",
            "postal_code": "634013460",
            "telephone_number": "573-221-1439",
            "fax_number": "573-406-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIONBERGER",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "LENAE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "573-221-1439",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "032545",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "MO",
            "license": "24969410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hannibal, MO

Sources for this page

  • 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.