Provider Demographics
NPI:1114721560
Name:HILLVIEW RETIREMENT CENTER
Entity type:Organization
Organization Name:HILLVIEW RETIREMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT/ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:740-354-3135
Mailing Address - Street 1:1610 28TH STREET
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662
Mailing Address - Country:US
Mailing Address - Phone:740-354-3135
Mailing Address - Fax:740-351-1810
Practice Address - Street 1:1610 28TH STREET
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662
Practice Address - Country:US
Practice Address - Phone:740-354-3135
Practice Address - Fax:740-351-1810
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HILLVIEW RETIREMENT CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3105455Medicaid