Provider Demographics
NPI:1679357537
Name:HILLVIEW SENIOR LIVING & REHABILITATION LLC
Entity type:Organization
Organization Name:HILLVIEW SENIOR LIVING & REHABILITATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:STOUT
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA
Authorized Official - Phone:618-294-8696
Mailing Address - Street 1:35 S VINE ST
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62946-1738
Mailing Address - Country:US
Mailing Address - Phone:182-948-6966
Mailing Address - Fax:618-294-8699
Practice Address - Street 1:512 N 11TH ST
Practice Address - Street 2:
Practice Address - City:VIENNA
Practice Address - State:IL
Practice Address - Zip Code:62995-1522
Practice Address - Country:US
Practice Address - Phone:618-658-2951
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility