Active NPI
Hillcrest Church Rest Home, Inc.
- Assisted Living Facility
- Monroe, NC
National Provider Identifier
1699815035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- HAL-090-004
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7802333 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI 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.