Hillside Operator LLC

Skilled Nursing Facility · Saint Louis, MO

Organization Active NPI

NPI number 1104590975

Practice location

1265 McLaran Ave
Saint Louis, MO 63147-1606
Phone
(314) 388-4121

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NPI record

NPI
1104590975
Entity type
Organization (Type 2)
Enumeration date
August 5, 2021
Last updated
August 5, 2021
Certified
August 5, 2021
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary 314000000X — —

Mailing address

10 Grandview Dr
Lakewood, NJ 08701-3881

Authorized official

Name
Jacques Wolf
Title
Manager
Phone
(908) 421-1184

Other names

  • Hillside Rehab and Healthcare Center

About Hillside Operator LLC

Hillside Operator LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Skilled Nursing Facility (code 314000000X). The practice location is 1265 McLaran Ave, Saint Louis, MO 63147-1606. The NPI number 1104590975 was assigned on August 5, 2021 and the record was last updated on August 5, 2021.

The authorized official for this organization is Jacques Wolf, Manager.

Frequently asked questions

What is the NPI number of Hillside Operator LLC?

The NPI number is 1104590975.

What is the phone number of Hillside Operator LLC?

The phone number listed for the practice location is (314) 388-4121.

Where is Hillside Operator LLC located?

1265 McLaran Ave, Saint Louis, MO 63147-1606.

What is the taxonomy code for Hillside Operator LLC?

The primary taxonomy code is 314000000X – Skilled Nursing Facility.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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