Hillside in Ellisville - Nursing Facility/intermediate Care Facility
Hillside - NPI 1306914700
Hillside is a Nursing Facility/intermediate Care Facility in Ellisville, Mississippi. Hillside practices all healthcare services and medical treatments related to Nursing Facility/intermediate Care Facility. The NPI Number for Hillside is 1306914700. The last update date is 2020-08-22.
Hillside's current location address is 1101 Highway 11 S, Ellisville, Mississippi. You can contact this provider via phone number 6014779384 and fax number 6014775700. The mailing address for Hillside is 1101 Highway 11 S, Ellisville, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Hillside |
|---|---|
| Address | 1101 Highway 11 S, Ellisville, Mississippi |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR O |
|---|---|
| Authorized Official Name | Lassiter Suzie |
| Telephone Number | 6014779384 |
NPI Number Detail
| NPI Number | 1306914700 |
|---|---|
| Provider Enumeration Date | 2006-12-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1101 Highway 11 S |
|---|---|
| City | Ellisville |
| State | Mississippi (MS) |
| Post Code | 394374443 |
| Phone Number | 6014779384 |
| Fax Number | 6014775700 |
Provider's Primary Taxonomy Detail
| Speciality | Nursing Facility/intermediate Care Facility |
|---|---|
| Taxonomy | 313M00000X |
| Licence No | 586 |
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Definition: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the reha |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21780 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Hillside?
The Hillside has been issued the NPI (National Provider Identifier) 1306914700 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Hillside's physical address?
The Hillside is physically located at 1101 Highway 11 S, in the city of Ellisville, MS, with the postal code 394374443.
What is Hillside's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Hillside is Nursing Facility/intermediate Care Facility, and the taxonomy code that categorizes this field of expertise is 313M00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1306914700 to Hillside?
The Centers for Medicare & Medicaid Services originally issued the 1306914700 to Hillside on 2006-12-01.
As of what date were the Hillside's details last updated?
The information pertaining to the Hillside, including its address, specialty, and other details, was most recently updated on 2020-08-22.