Hilltop Home Inc.

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

License

MHL-092-005 Issued in NC

Legal business name

HILLTOP HOME INC.

Practice address

2820 Kidd Rd
Raleigh, NC 27610-1842

Phone

(919) 231-8315

Fax

(919) 861-0015

NPI assigned

Jan 22, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Diane P. Van Husen

Title

Executive Director

Phone

(919) 390-0045

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wake County Specialized Residential Home for Children, Inc. Former legal business name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 34G352

Legal name

HILLTOP HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Oct 25, 2011

Last certification

Sep 9, 2025

Beds

22

Ownership / control type

Private (non-profit)

Facility address

2820 Kidd Road
Raleigh, NC 27610

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1902083975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46749",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276206749",
            "telephone_number": "919-231-8315",
            "fax_number": "919-861-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 KIDD RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101842",
            "telephone_number": "919-231-8315",
            "fax_number": "919-861-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLTOP HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "VAN HUSEN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "919-390-0045",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NC",
            "license": "MHL-092-005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3406020",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wake County Specialized Residential Home for Children, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Alfred Ray Hilliard Jr., COTA/L
• Angelique Lynn Hilliard
• Cassandra Schroder Hillman, OTR
• Philip L Hillsman, MD
• Deborah Ann Hillson, MS, CCC-SLP
• Sheena Brooke Hilton, CRNA
• Sarah Hoffman Hilts, MS, CCC-SLP
• Millicent Lorsee Himes
• Paul R Hinchey, MD
• Verenda Joyce Hindman, CRNA

• Intellectual Disabilities Intermediate Care Facility in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Intellectual Disabilities Intermediate Care Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.