Organization Active NPI

Hillcrest Church Rest Home, Inc.

  • Assisted Living Facility
  • Monroe, NC
National Provider Identifier
1699815035
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-090-004 Issued in NC
Legal business name
HILLCREST CHURCH REST HOME, INC.
Practice address
4123 Hillcrest Church Rd
Monroe, NC 28110-8292
Phone
(704) 292-1145
NPI assigned
Feb 7, 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
Marcie Love
Title
Accountant
Phone
(704) 795-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-090-004 NC Primary

Addresses

Primary practice location

4123 Hillcrest Church Rd
Monroe, NC 28110-8292

Mailing address

4123 Hillcrest Church Rd
Monroe, NC 28110-8292
Phone (704) 292-1145

Other identifiers 1

IdentifierTypeStateIssuer
7802333MedicaidNC

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699815035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4123 HILLCREST CHURCH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108292",
            "telephone_number": "704-292-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4123 HILLCREST CHURCH RD",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281108292",
            "telephone_number": "704-292-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST CHURCH REST HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "MARCIE",
        "authorized_official_title_or_position": "ACCOUNTANT",
        "authorized_official_telephone_number": "704-795-4336"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-090-004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7802333",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, NC

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.