Healthcare Provider Details

I. General information

NPI: 1730780727
Provider Name (Legal Business Name): HILLTOP LODGE HEALTH AND REHABILITATION CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/05/2020
Last Update Date: 11/05/2020
Certification Date: 11/05/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 N INDEPENDENCE AVE
BELOIT KS
67420-1639
US

IV. Provider business mailing address

2420 KNAPP ST
BROOKLYN NY
11235-1006
US

V. Phone/Fax

Practice location:
  • Phone: 785-738-3515
  • Fax:
Mailing address:
  • Phone: 718-942-3483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: NOCHUM FREUND
Title or Position: CEO
Credential:
Phone: 718-942-3483