Organization Active NPI

Hill Nursing Home, Inc.

  • Mental Illness Intermediate Care Facility
  • Idabel, OK
National Provider Identifier
1922005230
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Intermediate Care FacilityTaxonomy code 310500000X
License
NH4502-4502 Issued in OK
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

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
Ms. G. Joy Hill
Title
Owner/Administrator
Phone
(580) 286-5398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
CorporationProprietary
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.CCN 375234 · All quality measures
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
3 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Jul 1, 1995
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
5135.9 residents per day on average
Penalties (3 years)
1Fines totaling $69,420

Processed by Care Compare on Aug 1, 2026.

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
37D0673878Hill Nursing Home, Inc808 Martin Luther King, Idabel, OK 74745Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Gladys Joy Hill Individual 5% Or Greater Direct Ownership Interest Dec 1, 2008
Corporate Director Dec 1, 2008
Operational/Managerial Control Dec 1, 2008
Anne Rogers Individual 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.

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

Verify at the official NPI Registry.