Healthcare Provider Details
I. General information
NPI: 1851352975
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
5321 BEVERLY PARK CIRCLE
KNOXVILLE TN
37918
US
IV. Provider business mailing address
5321 BEVERLY PARK CIR
KNOXVILLE TN
37918-9253
US
V. Phone/Fax
- Phone: 865-687-1321
- Fax: 865-246-4054
- Phone: 865-687-1321
- Fax: 865-246-4054
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 313M00000X |
| Taxonomy | Nursing Facility/Intermediate Care Facility |
| License Number | 0000000143 |
| License Number State | TN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 314000000X |
| Taxonomy | Skilled Nursing Facility |
| License Number | 143 |
| License Number State | TN |
VIII. Authorized Official
Name:
KEVIN
A
WHITLOCK
Title or Position: SR VP - FINANCE
Credential:
Phone: 423-310-6147