Hillstone Ej Ra Holdings LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

0993N Issued in OH

Legal business name

HILLSTONE EJ RA HOLDINGS LLC

Doing business as

Rae-Ann Nursing Center

Practice address

4650 Rocky River Dr
Cleveland, OH 44135-3846

Phone

(216) 267-5445

Fax

(216) 267-5936

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Hayley B Williams

Title

Attorney

Phone

(216) 706-3936

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rae-Ann Nursing Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laxmi Prasana Sakamuri

  • Internal Medicine Physician
  • Cleveland, OH
  • NPI 1437775129
  NPD (past)

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1902318959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 ENTERPRISE DR STE G",
            "city": "LEWIS CENTER",
            "state": "OH",
            "postal_code": "430359704",
            "telephone_number": "937-825-6622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 ROCKY RIVER DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441353846",
            "telephone_number": "216-267-5445",
            "fax_number": "216-267-5936"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSTONE EJ RA HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "HAYLEY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ATTORNEY",
        "authorized_official_telephone_number": "216-706-3936"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "0993N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSURE",
            "identifier": "0093N",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rae-Ann Nursing Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rai-Sean Nevels Hilliard
• Sherry A. Hillier, M.D.
• Austin Edward Hillman, MD
• Hillmed Surgical Corporation
• Edward Hills, DDS
• Daniel Himelstein
• Suzanne Louise Himes, RN
• Sharifa Himidan, MD
• Lavonte D Hinchen
• Timothy Hinchliffe, PTA

• Skilled Nursing Facility in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Skilled Nursing Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2017; 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.