Healthcare Provider Details

I. General information

NPI: 1427019413
Provider Name (Legal Business Name): HILLCREST HEALTHCARE COMMUNITIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 09/08/2025
Certification Date: 09/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1758 HILLWOOD DR
KNOXVILLE TN
37920-2600
US

IV. Provider business mailing address

1758 HILLWOOD DR
KNOXVILLE TN
37920-2600
US

V. Phone/Fax

Practice location:
  • Phone: 865-573-9621
  • Fax: 865-246-4054
Mailing address:
  • Phone: 865-573-9621
  • Fax: 865-246-4211

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code313M00000X
TaxonomyNursing Facility/Intermediate Care Facility
License Number0000000144
License Number StateTN
# 2
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number144
License Number StateTN

VIII. Authorized Official

Name: KEVIN A WHITLOCK
Title or Position: SR VP - FINANCE
Credential:
Phone: 423-310-6147