Provider Demographics
NPI:1306088778
Name:HILLTOP DEPENDABLE LOVING CARE
Entity type:Organization
Organization Name:HILLTOP DEPENDABLE LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDA
Authorized Official - Middle Name:P
Authorized Official - Last Name:REEVE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:210-679-6518
Mailing Address - Street 1:12926 DEEROAK DRIVE
Mailing Address - Street 2:HILLTOP DEPENDABLE LOVING CARE
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5159
Mailing Address - Country:US
Mailing Address - Phone:210-679-6518
Mailing Address - Fax:210-679-6518
Practice Address - Street 1:12926 DEEROAK
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5159
Practice Address - Country:US
Practice Address - Phone:210-679-6518
Practice Address - Fax:210-679-6518
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-01
Last Update Date:2009-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization