Hillendale Cares LLC

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Legal business name

HILLENDALE CARES LLC

Practice address

27357 Frampton Ave
Brooksville, FL 34602-7306

Phone

(352) 345-4698

NPI assigned

Jul 30, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Robert M Roth

Title

Administrator

Phone

(352) 345-4698

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

Tax ID family

Hillendale Cares LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Hillendale Cares LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Brooksville, FL
  • NPI 1891396461
  NPD tax ID
• Hillendale Cares LLC

  • Behavior Technician
  • Brooksville, FL
  • NPI 1891577474
  NPD tax ID

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

{
    "created_epoch": "1627603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627603200000",
    "number": "1902579303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27357 FRAMPTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027306",
            "telephone_number": "352-345-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27357 FRAMPTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346027306",
            "telephone_number": "352-345-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLENDALE CARES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-30",
        "last_updated": "2021-07-30",
        "certification_date": "2020-11-02",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "352-345-4698",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109683100",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101372900",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hillendalebehavioral@gmail.com",
            "affiliation": "N",
            "endpointDescription": "hillendalebehavioral@gmail.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "27357 Frampton Ave",
            "city": "Brooksville, FL 34602",
            "state": "FL",
            "country_code": "US",
            "postal_code": "34602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Muhammed-Rodwan Ali Hiba, MD
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• Hillendale Behavioral Services
• Hillendale Cares LLC
• Hillendale Cares LLC
• Kashif Hira
• Thomas S. Hogan Sr., RPH
• Dawne Geraldine Hohn, PT
• Rodney Holcomb, CRNA
• Holiday CVS LLC

• Behavior Analyst in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Behavior Analyst in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2021; 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.