Provider Demographics
NPI:1760294318
Name:HILLCREST SENIOR LIVING INC.
Entity type:Organization
Organization Name:HILLCREST SENIOR LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSEE
Authorized Official - Prefix:
Authorized Official - First Name:MARY JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MUIT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-749-7237
Mailing Address - Street 1:6468 E CALLE DEL NORTE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-4204
Mailing Address - Country:US
Mailing Address - Phone:714-749-7237
Mailing Address - Fax:
Practice Address - Street 1:6468 E CALLE DEL NORTE
Practice Address - Street 2:
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92807-4204
Practice Address - Country:US
Practice Address - Phone:714-749-7237
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-21
Last Update Date:2025-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility