HILLCREST MANOR NURSING & REHABILITATION CENTER
NPI 1154310431
Skilled Nursing Facility in Luling, TX

Active since October 19, 2005CLIA 45D0504228 · Waiver
HOUSTON HIGHWAY, LULING, TX 78648(830) 875-5219(830) 875-2919 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Hillcrest Manor Nursing & Rehabilitation Center NPPES

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

HILLCREST MANOR NURSING & REHABILITATION CENTER (NPI 1154310431) is a healthcare organization registered as a skilled nursing facility in Luling, Texas and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Raymond L. Tyler, Executive Vice President And Coo, as its authorized official.

NPPES Registry Identity

NPI1154310431
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameDIVERSICARE LEASING CORP.
Location AddressHOUSTON HIGHWAYLuling, TX 78648-0230
Mailing AddressPo Box 230Luling, TX 78648-0230 · (830) 875-5219 · Fax (830) 875-2919
Fax(830) 875-2919
Organization SubpartNo
Authorized OfficialRaymond L. TylerExecutive Vice President And Coo · (615) 771-7575
Enumeration DateOctober 19, 2005
Last NPPES UpdateAugust 22, 2020
NPI 1154310431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in TX · 115095
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
HOUSTON HIGHWAY, Luling, TX 78648

Other Names 1

Doing Business AsHillcrest Manor Nursing & Rehabilitation Center

Other Identifiers 1

Medicaid4820TX

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 45D0504228

Hillcrest Manor Nursing And Rehab · Luling, TX
Active · expires Aug 31, 2026
CLIA Number45D0504228
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnnice Brawley
Laboratory Phone(830) 875-5219
Laboratory LocationHillcrest Manor Nursing And Rehab208 Maple Street, Luling, TX 78648
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Diversicare Leasing Corp.'s NPI number?

The NPI number for Diversicare Leasing Corp. is 1154310431. It was assigned to this organization in the NPPES registry on October 19, 2005. The provider is doing business as Hillcrest Manor Nursing & Rehabilitation Center.

Where is Diversicare Leasing Corp. located?

Diversicare Leasing Corp. is located at Houston Highway, Luling, TX 78648. The listed phone number is (830) 875-5219.

What is Diversicare Leasing Corp.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Diversicare Leasing Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0504228) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Diversicare Leasing Corp. was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.