HILLSIDE HEALTH CARE CENTER, LLC
NPI 1730050964
Skilled Nursing Facility in Saint Louis, MO

Active since September 12, 2025CLIA 26D0652093 · Waiver
1265 MCLARAN AVE, SAINT LOUIS, MO 63147(314) 388-4121 Get Directions Write a Review

NPPES record last updated: September 12, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Hillside Health Care Center, Llc NPPES

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

HILLSIDE HEALTH CARE CENTER, LLC (NPI 1730050964), doing business as Hillside Health Care Center, is a healthcare organization registered as a skilled nursing facility in Saint Louis, Missouri and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Richard J. Destefane, President, as its authorized official.

NPPES Registry Identity

NPI1730050964
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHILLSIDE HEALTH CARE CENTER, LLC
Location Address1265 MCLARAN AVESaint Louis, MO 63147-1606
Mailing Address1869 Craig Park CtSaint Louis, MO 63146-4122 · (314) 543-3805 · Fax (314) 226-1736
Organization SubpartNo
Authorized OfficialRichard J. DestefanePresident · (314) 543-3805
Enumeration DateSeptember 12, 2025
NPPES CertifiedSeptember 12, 2025
NPI 1730050964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
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.

Other Names 1

Doing Business AsHillside Health Care Center

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 26D0652093

Hillside Health Care Center, LLC · Saint Louis, MO
Active · expires Aug 31, 2026
CLIA Number26D0652093
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorOdetta Martin
Laboratory Phone(314) 388-4121
Laboratory LocationHillside Health Care Center, LLC1265 Mclaran Ave, Saint Louis, MO 63147
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 5

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

Skilled Nursing Facility
1265 MCLARAN AVE
SAINT LOUIS, MO 63147
Skilled Nursing Facility
1265 MCLARAN AVE
SAINT LOUIS, MO 63147
Occupational Therapy Assistant
1265 MCLARAN AVE
SAINT LOUIS, MO 63147
General Practice
1265 MCLARAN AVE
SAINT LOUIS, MO 63147
Skilled Nursing Facility
1265 MCLARAN AVE
SAINT LOUIS, MO 63147

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 Health Care Center, LLC's NPI number?

The NPI number for Hillside Health Care Center, LLC is 1730050964. It was assigned to this organization in the NPPES registry on September 12, 2025. The provider is doing business as Hillside Health Care Center.

Where is Hillside Health Care Center, LLC located?

Hillside Health Care Center, LLC is located at 1265 Mclaran Ave, Saint Louis, MO 63147. The listed phone number is (314) 388-4121.

What is Hillside Health Care Center, LLC's specialty?

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

Does Hillside Health Care Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0652093) 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 Hillside Health Care Center, LLC was last updated on September 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.