MEDICARE: HILLVIEW HEALTHCARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	3230	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	5202210001	OTHER		DME

General Provider Information

NPI Number	:	1346247814
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HILLVIEW HEALTHCARE LLC

Provider Business Mailing Address
First Line	:	1615 S 22ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2548
Country	:	US
Telephone Number	:	414-671-6830
Fax Number	:	414-671-6990

Provider Business Practice Location Address
First Line	:	1615 S 22ND ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-2548
Country	:	US
Telephone Number	:	414-671-6830
Fax Number	:	414-671-6990

Authorized Official
Title or Position	:	DIRECTOR OF REIMBURSEMENT
Name	:	MRS. CHRISTINA CAROL ROOP
Credential	:
Telephone Number	:	863-324-4739

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	08/22/2020

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Directions to “HILLVIEW HEALTHCARE LLC ” Practice Location

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