Basic Information
Provider Information
NPI: 1891292116
EntityType: 2
ReplacementNPI:  
OrganizationName: HAMILTON COUNTY HOSPITAL DISTRICT
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: HILLVIEW NURSING AND REHABILITATION
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 400 N BROWN ST
Address2:  
City: HAMILTON
State: TX
PostalCode: 765311518
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1110 RICE ST
Address2:  
City: GOLDTHWAITE
State: TX
PostalCode: 768444403
CountryCode: US
TelephoneNumber: 3256482247
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/12/2018
LastUpdateDate: 08/18/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: HOOPER
AuthorizedOfficialFirstName: GRADY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 2543861950
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
314000000X  Y Nursing & Custodial Care FacilitiesSkilled Nursing Facility 

No ID Information.


Home