Healthcare Provider Details

I. General information

NPI: 1447247366
Provider Name (Legal Business Name): HILLSIDE RESIDENTIAL CARE FACILITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/05/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 HILLSIDE AVE
AMESBURY MA
01913-2228
US

IV. Provider business mailing address

PO BOX 84 HILLSIDE REST HOME INC
AMESBURY MA
01913-0002
US

V. Phone/Fax

Practice location:
  • Phone: 978-388-1010
  • Fax:
Mailing address:
  • Phone: 978-388-1010
  • Fax: 978-388-6817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State

VIII. Authorized Official

Name: MR. WILLIAM E RING JR.
Title or Position: OWNER ADMIN
Credential:
Phone: 978-388-1010