Provider Demographics
NPI:1568264448
Name:HILLWORTH, RONALD ALLEN
Entity type:Individual
Prefix:
First Name:RONALD
Middle Name:ALLEN
Last Name:HILLWORTH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4935 S 130TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68137-1815
Mailing Address - Country:US
Mailing Address - Phone:717-693-8232
Mailing Address - Fax:
Practice Address - Street 1:4935 S 130TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68137-1815
Practice Address - Country:US
Practice Address - Phone:717-693-8232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Single Specialty