Provider Demographics
NPI:1851352975
Name:HILLCREST HEALTHCARE COMMUNITIES INC
Entity type:Organization
Organization Name:HILLCREST HEALTHCARE COMMUNITIES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:L
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:865-851-0125
Mailing Address - Street 1:5321 BEVERLY PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37918
Mailing Address - Country:US
Mailing Address - Phone:865-687-1321
Mailing Address - Fax:865-246-4054
Practice Address - Street 1:5321 BEVERLY PARK CIRCLE
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37918
Practice Address - Country:US
Practice Address - Phone:865-687-1321
Practice Address - Fax:865-246-4054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-29
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000000143314000000X, 313M00000X
TN143313M00000X, 314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0000000143OtherNH LICENSE NUMBER
TN0445131Medicaid
TN7440207Medicaid
TN7440207Medicaid
TN445131Medicare Oscar/Certification