Active NPI
Hill Nursing Home, Inc.
- Mental Illness Intermediate Care Facility
- Idabel, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Intermediate Care Facility
- License
- NH4502-4502
- Legal business name
- HILL NURSING HOME, INC.
- Practice address
- 808 NW Martin Luther King Ave
Idabel, OK 74745-4268 - Phone
- (580) 286-5398
- Fax
- (580) 286-7924
- NPI assigned
- Jun 30, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. G. Joy Hill
- Title
- Owner/Administrator
- Phone
- (580) 286-5398
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Intermediate Care Facility | 310500000X | NH4502-4502 | OK | Primary |
Addresses
Primary practice location
808 NW Martin Luther King Ave
Idabel, OK 74745-4268
Mailing address
PO Box 687
Idabel, OK 74745-0687
Phone (580) 286-5398
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090129000559 | OK | Part A Provider - Skilled Nursing Facility | 9537223920 | Practice locations: Idabel, OK |
Skilled nursing facility certification: CCN 375234
- Legal name
- HILL NURSING HOME, INC.
- Doing business as
- HILL NURSING HOME, INC
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1995
- Last certification
- Jul 3, 2024
- Beds
- 51
- Ownership / control type
- Corporation
- Organization structure
- Corporation
- Incorporated
- Jul 1, 1979 in OK
- Enrollment address
- 808 NW Martin Luther King Ave
Idabel, OK 74745-4268 - Nursing home name
- HILL NURSING HOME, INC.
Care Compare: Nursing home
Medicare Care Compare- Listed as
- Hill Nursing Home, Inc.
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 1, 1995
- Medicare certification status
- Active
- Certified beds
- 51
- Penalties (3 years)
- 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0673878 | Hill Nursing Home, Inc | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 2
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Gladys Joy Hill | 5% Or Greater Direct Ownership Interest | Dec 1, 2008 | |
| Corporate Director | Dec 1, 2008 | ||
| Operational/Managerial Control | Dec 1, 2008 | ||
| Anne Rogers | W-2 Managing Employee | Aug 1, 1998 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Broken Bow, OK
- NPI 1205181559
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": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922005230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 687",
"city": "IDABEL",
"state": "OK",
"postal_code": "747450687",
"telephone_number": "580-286-5398",
"fax_number": "580-286-7924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "808 NW MARTIN LUTHER KING AVE",
"city": "IDABEL",
"state": "OK",
"postal_code": "747454268",
"telephone_number": "580-286-5398",
"fax_number": "580-286-7924"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HILL NURSING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "G.",
"authorized_official_middle_name": "JOY",
"authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
"authorized_official_telephone_number": "580-286-5398",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310500000X",
"taxonomy_group": "",
"desc": "Intermediate Care Facility, Mental Illness",
"state": "OK",
"license": "NH4502-4502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Idabel, 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 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.