# HILLCREST CONVALESCENT HOSPITAL INC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174695175
- **Authorized official:** MR. BRAD O. DEHAAN (ADMINISTRATOR)
- **Authorized official phone:** (562) 426-4461

## Contact information

- **Practice address:** 3401 CEDAR AVE, LONG BEACH, CA 90807-4422
- **Practice address phone:** (562) 426-4461
- **Practice address fax:** (562) 426-5731
- **Mailing address:** 3401 CEDAR AVE, LONG BEACH, CA 90807-4422
- **Mailing address phone:** (562) 426-4461
- **Mailing address fax:** (562) 426-5731

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | ZZT05364F | CA | Yes |

## Other

- **Enumeration date:** 11/14/2006
- **Last updated:** 11/07/2011