Hillcrest Residential Care,

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HILLCREST RESIDENTIAL CARE,

Doing business as

Hillcrest Assisted Living

Practice address

9415 N North Browns Station Rd
Columbia, MO 65202-8671

Phone

(573) 696-3201

NPI assigned

Oct 28, 2020

Organization subpart

No

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

Authorized official

Name

Penny Worthley

Title

Owner

Phone

(573) 696-3201

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hillcrest Assisted Living Doing business as

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603843200000",
    "number": "1700486859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8491 E MOUNT ZION CHURCH RD",
            "city": "HALLSVILLE",
            "state": "MO",
            "postal_code": "652559056",
            "telephone_number": "573-999-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9415 N NORTH BROWNS STATION RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652028671",
            "telephone_number": "573-696-3201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLCREST RESIDENTIAL CARE,",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A",
        "authorized_official_last_name": "WORTHLEY",
        "authorized_official_first_name": "PENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-696-3201"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "M266721109",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Grace E Hill, MSW, LCSW
• Jonathan Lynn Hill, DO
• Lyssa Lynn Niccole Hill
• Richard Eugene Hill, CRNA
• Alan E Hillard, MD
• Jaffar Hilli, M.D.
• Cody Lee Hillis
• Richard Hillman, MD
• Jared Hilton
• Kristen Hilty, LCSW

• Assisted Living Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Assisted Living Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.