Provider Demographics
NPI:1104562560
Name:HP CEDAR HILL OPCO I, LLC
Entity type:Organization
Organization Name:HP CEDAR HILL OPCO I, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:
Authorized Official - Last Name:WILLIAMS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-291-4955
Mailing Address - Street 1:225 W PLEASANT RUN RD
Mailing Address - Street 2:
Mailing Address - City:CEDAR HILL
Mailing Address - State:TX
Mailing Address - Zip Code:75104-5478
Mailing Address - Country:US
Mailing Address - Phone:972-291-4955
Mailing Address - Fax:
Practice Address - Street 1:225 W PLEASANT RUN RD
Practice Address - Street 2:
Practice Address - City:CEDAR HILL
Practice Address - State:TX
Practice Address - Zip Code:75104-5478
Practice Address - Country:US
Practice Address - Phone:972-291-4955
Practice Address - Fax:972-460-5628
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-09
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility