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

Active since October 23, 2006CLIA 33D0654079 · Waiver
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: August 16, 2026.

About Hillside Manor Long Term Home Health Care Program NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HILLSIDE MANOR LONG TERM HOME HEALTH CARE PROGRAM (NPI 1013090166) is a healthcare organization registered as a home health in Hollis, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Doug Wissmann, Finance Director, as its authorized official.

NPPES Registry Identity

NPI1013090166
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Location Address18811 HILLSIDE AVEHollis, NY 11423-1935
Mailing Address18811 Hillside AveHollis, NY 11423-1935 · (718) 291-3500 · Fax (718) 523-2340
Phone(718) 291-3500
Fax(718) 523-2340
Organization SubpartNo
Authorized OfficialDoug WissmannFinance Director · (718) 291-8200
Enumeration DateOctober 23, 2006
Last NPPES UpdateSeptember 18, 2008
✔ NPI 1013090166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
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.
18811 HILLSIDE AVE, Hollis, NY 11423
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Other Names 1

Doing Business AsHillside Manor Long Term Home Health Care Program

Other Identifiers 2

Medicare ID-Type Unspecified337262NY
Medicaid01107868NY

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0654079

Hillside Manor Rehabilitation & Extended Care Center LLC · Jamaica Est, NY
Active · expires Mar 26, 2027
CLIA Number33D0654079
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 29, 2003
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Himanshu Pandya
Laboratory Phone(718) 291-8200
Laboratory LocationHillside Manor Rehabilitation & Extended Care Center LLC182-15 Hillside Ave, Jamaica Est, NY 11432
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JYOTI M SHAH PHYSICIAN P C
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 264-6703
FOREST HILLS MEDICAL ASSOCIATES, PC
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 264-6703
JOSEPH QUASHIE, MD PC
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 264-6869
HILLSIDE ANESTHESIOLOGY PC
Anesthesiology
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 264-6700
HILLSIDE DIAGNOSTIC AND TREATMENT CENTER, LLC
Clinic/Center (Ambulatory Surgical)
18811 HILLSIDE AVE
JAMAICA, NY 11423
Queens County (718) 264-6700
VIKKI RYXIEL TORIO
Physical Therapist
18811 HILLSIDE AVE
JAMAICA, NY 11423
Queens County (718) 480-1861
HILLSIDE MANOR REHABILITATION AND EXTENDED CARE CENTER, LLC
Home Health
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 291-3500
SOUTH SHORE ANESTHESIOLOGY, P.C.
Specialist
18811 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 264-6869

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hillside Manor Rehabilitation And Extended Care Center, LLC's NPI number?

The NPI number for Hillside Manor Rehabilitation And Extended Care Center, LLC is 1013090166. It was assigned to this organization in the NPPES registry on October 23, 2006. The provider is doing business as Hillside Manor Long Term Home Health Care Program.

Where is Hillside Manor Rehabilitation And Extended Care Center, LLC located?

Hillside Manor Rehabilitation And Extended Care Center, LLC is located at 18811 Hillside Ave, Hollis, NY 11423. The listed phone number is (718) 291-3500.

What is Hillside Manor Rehabilitation And Extended Care Center, LLC's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Hillside Manor Rehabilitation And Extended Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0654079) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hillside Manor Rehabilitation And Extended Care Center, LLC was last updated on September 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.