HILLSIDE MANOR LONG TERM HOME HEALTH CARE PROGRAM
NPI 1013090166
Home Health in Hollis, NY

Active since October 23, 2006
18811 HILLSIDE AVE, HOLLIS, NY 11423(718) 291-3500(718) 523-2340 Get Directions Write a Review

NPPES record last updated: September 18, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Home Health

About HILLSIDE MANOR LONG TERM HOME HEALTH CARE PROGRAM

This page provides the complete NPI Profile along with additional information for Hillside Manor Long Term Home Health Care Program, a provider established in Hollis, New York operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1013090166 assigned on October 2006. The practitioner's primary taxonomy code is 251E00000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Hillside Manor Long Term Home Health Care Program. The authorized official of this NPI record is Mr. Doug Wissmann (Finance Director)

NPI
1013090166 Verify this NPI
Provider Legal Name
HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Other Organization Name
HILLSIDE MANOR LONG TERM HOME HEALTH CARE PROGRAM
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
18811 HILLSIDE AVE HOLLIS, NY 11423
Location Phone
(718) 291-3500
Location Fax
(718) 523-2340
Mailing Address
18811 HILLSIDE AVE HOLLIS, NY 11423
Mailing Phone
(718) 291-3500
Mailing Fax
(718) 523-2340
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-23-2006
Last Update Date
09-18-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Home Health

Taxonomy Code
251E00000X
Type
Agencies
Taxonomy Description
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. DOUG WISSMANN

Authorized Official Title
FINANCE DIRECTOR
Authorized Official Phone
(718) 291-8200

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
337262MEDICARE ID-TYPE UNSPECIFIED (04)NY 
01107868MEDICAID (05)NY 

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Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Clinic/Center (Ambulatory Surgical)
18811 HILLSIDE AVE
JAMAICA, NY 11423
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Specialist
18811 HILLSIDE AVE
HOLLIS, NY 11423
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Home Health
18811 HILLSIDE AVE
HOLLIS, NY 11423
Home Health
18811 HILLSIDE AVE
HOLLIS, NY 11423
Skilled Nursing Facility
18811 HILLSIDE AVE
HOLLIS, NY 11423
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013090166, enumerated as an "organization" on October 23, 2006.

The provider is located at 18811 HILLSIDE AVE HOLLIS, NY 11423 and the phone number is (718) 291-3500.

Home Health with taxonomy code 251E00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.