Active NPI
Lantis Enterprises, Inc
Doing business as Hillcrest Care Center
- Skilled Nursing Facility
- Hettinger, ND
National Provider Identifier
1942295480
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 8068A
- Legal business name
- LANTIS ENTERPRISES, INC
- Doing business as
- Hillcrest Care Center
- Practice address
- 1104 Highway 12
Hettinger, ND 58639-7533 - Phone
- (701) 567-2401
- NPI assigned
- Sep 12, 2005
- Last updated
- Aug 22, 2020
- 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
- Michael L. Moore
- Title
- Chief Financial Officer
- Phone
- (605) 642-7736
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 8068A | ND | Primary |
Addresses
Primary practice location
1104 Highway 12
Hettinger, ND 58639-7533
Mailing address
PO Box 699
4755 E Colorado Blvd
Spearfish, SD 57783-0699
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 030148 | Medicaid | ND |
Other names 1
- Hillcrest Care Center
National Provider Directory
National Provider Directory- Tax ID family
- Lantis Enterprises Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
dba River Ridge Assisted Living
- Assisted Living Facility
- Billings, MT
- NPI 1568908382
Locations
1104 Highway 12
Hettinger, ND 58639
Phone (701) 567-2401
4755 E Colorado Blvd
Spearfish, SD 57783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1942295480",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 699",
"address_2": "4755 E COLORADO BLVD",
"city": "SPEARFISH",
"state": "SD",
"postal_code": "577830699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1104 HIGHWAY 12",
"city": "HETTINGER",
"state": "ND",
"postal_code": "586397533",
"telephone_number": "701-567-2401"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LANTIS ENTERPRISES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-12",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "605-642-7736"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "ND",
"license": "8068A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "030148",
"state": "ND"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hillcrest Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hettinger, ND
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.