NPIMap

Organization Active NPI

Hillside Health Care Center, LLC

  • Skilled Nursing Facility
  • Saint Louis, MO
National Provider Identifier
1730050964
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HILLSIDE HEALTH CARE CENTER, LLC
Practice address
1265 McLaran Ave
Saint Louis, MO 63147-1606
Phone
(314) 388-4121
NPI assigned
Sep 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Authorized official

Name
Richard J. Destefane
Title
President
Phone
(314) 543-3805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

1265 McLaran Ave
Saint Louis, MO 63147-1606

Mailing address

1869 Craig Park CT
Saint Louis, MO 63146-4122
Phone (314) 543-3805

Other names 1

  • Hillside Health Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260311002437 MO Part A Provider - Skilled Nursing Facility 4587147228 Practice locations: Saint Louis, MO

Skilled nursing facility certification: CCN 265585

Legal name
HILLSIDE HEALTH CARE CENTER, LLC
Doing business as
HILLSIDE HEALTH CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Aug 1, 1994
Last certification
Jul 16, 2024
Beds
208
Ownership / control type
Corporation
Multi-facility organization
LUXOR HEALTHCARE
Most recent change of ownership
Sep 15, 2025
Organization structure
LLCProprietary
Enrollment address
1265 McLaran Ave
Saint Louis, MO 63147-1606
Nursing home name
HILLSIDE HEALTH CARE CENTER
Affiliated entity
RELIANT CARE MANAGEMENT

Care Compare: Nursing home

Medicare Care Compare
Listed as
Hillside Health Care CenterCCN 265585
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Aug 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
208147.3 residents per day on average
Chain
Reliant Care Management34 facilities in the chain
Special focus status
SFF
Abuse citation
Cited for abuse (Care Compare abuse icon)
Penalties (3 years)
5Fines totaling $168,680
Ownership change
Changed ownership in the last 12 months

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
McLaran Property, LLC Organization, Evanston, IL LLC Adp of the SNF Sep 15, 2025
RCG Inc Organization, Saint Louis, MO Corporation, Holding company, Owned by another organization or individual Indirect Ownership Interest Sep 15, 2025 0.01%
Richard J. Destefane Revocable Living Trust Organization, Saint Louis, MO Indirect Ownership Interest Sep 15, 2025 100%
Richard J Destefane Individual Operational/Managerial Control Sep 15, 2025
Indirect Ownership Interest Sep 15, 2025 100%
Reliant Care Group LLC Organization, Saint Louis, MO LLC, Holding company, Owned by another organization or individual Direct Ownership Interest Sep 15, 2025 100%
Reliant Care Management Company LLC Organization, Saint Louis, MO LLC, Management services company, Chain home office Operational/Managerial Control Sep 15, 2025
Adp of the SNF Nov 3, 2025
Odette Martin Individual Operational/Managerial Control Sep 15, 2025
Adp of the SNF Sep 15, 2025
Abdullah Arshad Individual Operational/Managerial Control Sep 15, 2025
Adp of the SNF Sep 15, 2025
Individual Adp of the SNF Sep 15, 2015

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 32

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 32

Practitioners & affiliated clinicians

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1757635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757635200000",
    "number": "1730050964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1869 CRAIG PARK CT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464122",
            "telephone_number": "314-543-3805",
            "fax_number": "314-226-1736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 MCLARAN AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631471606",
            "telephone_number": "314-388-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE HEALTH CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-12",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A",
        "authorized_official_last_name": "DESTEFANE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-543-3805"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillside Health Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.