Organization Active NPI

Bellecrest Homes LLC

Doing business as Hillcrest Living Center

  • Nursing Facility/Intermediate Care Facility
  • Moore, OK
National Provider Identifier
1902845399
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
NH1402-1402 Issued in OK
Legal business name
BELLECREST HOMES LLC
Doing business as
Hillcrest Living Center
Practice address
2120 N Broadway St
Moore, OK 73160-4408
Phone
(405) 794-2428
NPI assigned
Jun 4, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Cynthia Ritter
Title
Administrator
Phone
(405) 794-2428

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X NH1402-1402 OK Primary

Addresses

Primary practice location

2120 N Broadway St
Moore, OK 73160-4408

Mailing address

2120 N Broadway St
Moore, OK 73160-4408
Phone (405) 794-2428

Other names 1

  • Hillcrest Living Center Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D0984367Hillcrest Living Center2120 N Broadway, Moore, OK 73160Certificate of waiverMar 19, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902845399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2120 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604408",
            "telephone_number": "405-794-2428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 N BROADWAY ST",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731604408",
            "telephone_number": "405-794-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLECREST HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RITTER",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "405-794-2428"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "OK",
            "license": "NH1402-1402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hillcrest Living Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Moore, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.