HILLSIDE NURSING CENTER OF WAKE FOREST
NPI 1205986577
Skilled Nursing Facility in Wake Forest, NC

Active since January 11, 2007CLIA 34D0986155 · Waiver
968 WAIT AVE, WAKE FOREST, NC 27587(919) 556-4082(919) 554-4650 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hillside Nursing Center Of Wake Forest NPPES

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

HILLSIDE NURSING CENTER OF WAKE FOREST (NPI 1205986577) is a healthcare organization registered as a skilled nursing facility in Wake Forest, North Carolina and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through May 8, 2027 and lists Tonda C Glenn, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205986577
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHILLSIDE NURSING CENTER OF WAKE FOREST
Location Address968 WAIT AVEWake Forest, NC 27587-7670
Mailing Address968 Wait AveWake Forest, NC 27587-7670 · (919) 556-4082 · Fax (919) 554-4650
Fax(919) 554-4650
Organization SubpartNo
Authorized OfficialTonda C GlennOffice Manager · (919) 556-4082
Enumeration DateJanuary 11, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1205986577 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 NC · NH0525
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.
968 WAIT AVE, Wake Forest, NC 27587

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 34D0986155

Hillside Nursing Center · Wake Forest, NC
Active · expires May 8, 2027
CLIA Number34D0986155
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateMay 9, 2025
Certificate Expiration DateMay 8, 2027
Laboratory DirectorJohn Pisko
Laboratory Phone(919) 556-4082
Laboratory LocationHillside Nursing Center968 Wait Avenue, Wake Forest, NC 27587
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
968 WAIT AVE
WAKE FOREST, NC 27587
Assisted Living Facility
968 WAIT AVE
WAKE FOREST, NC 27587

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 Nursing Center Of Wake Forest's NPI number?

The NPI number for Hillside Nursing Center Of Wake Forest is 1205986577. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Hillside Nursing Center Of Wake Forest located?

Hillside Nursing Center Of Wake Forest is located at 968 Wait Ave, Wake Forest, NC 27587. The listed phone number is (919) 556-4082.

What is Hillside Nursing Center Of Wake Forest's specialty?

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

Does Hillside Nursing Center Of Wake Forest hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D0986155) is associated with this NPI, valid through May 8, 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 Nursing Center Of Wake Forest was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.