Provider Demographics
NPI:1861228538
Name:HILLCREST COVE ASSISTED LIVING FACILITY INC
Entity type:Organization
Organization Name:HILLCREST COVE ASSISTED LIVING FACILITY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NADINE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCDANIEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-651-4037
Mailing Address - Street 1:413 E HILLCREST ST
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-7834
Mailing Address - Country:US
Mailing Address - Phone:301-651-4037
Mailing Address - Fax:321-972-2859
Practice Address - Street 1:413 E HILLCREST ST
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-7834
Practice Address - Country:US
Practice Address - Phone:301-651-4037
Practice Address - Fax:321-972-2859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No385H00000XRespite Care FacilityRespite Care