Basic Information
| Provider Information | |||||||||
| NPI: | 1346302452 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HILLSIDE NURSING AND REHABILITATION, LLC | ||||||||
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| OtherOrganizationName: | HILLSIDE NURSING AND REHABILITATION | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 7261 ENGLE RD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | MIDDLEBURG HEIGHTS | ||||||||
| State: | OH | ||||||||
| PostalCode: | 441308467 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2167721105 | ||||||||
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| Practice Location | |||||||||
| Address1: | 299 COMMERCE DR | ||||||||
| Address2: | |||||||||
| City: | SEAMAN | ||||||||
| State: | OH | ||||||||
| PostalCode: | 456797516 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9373866375 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 12/14/2006 | ||||||||
| LastUpdateDate: | 12/16/2016 | ||||||||
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| AuthorizedOfficialLastName: | PARSONS | ||||||||
| AuthorizedOfficialFirstName: | BENJAMIN | ||||||||
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| AuthorizedOfficialTitleorPosition: | SECRETARY/GENERAL COUNSEL | ||||||||
| AuthorizedOfficialTelephone: | 2167721105 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.