# HILLTOP LODGE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hilltop Lodge Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417933656
- **Authorized official:** MR. BRADLEY JAY HEIDRICK (VICE PRESIDENT)
- **Authorized official phone:** (785) 738-3516

## Contact information

- **Practice address:** 815 N. INDEPENDENCE AVE, BELOIT, KS 67420-0467
- **Practice address phone:** (785) 738-3516
- **Practice address fax:** (785) 738-2332
- **Mailing address:** P.O. BOX 467, BELOIT, KS 67420-0467
- **Mailing address phone:** (785) 738-3516
- **Mailing address fax:** (785) 738-2332

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N062001 | KS | Yes |

## Other

- **Enumeration date:** 12/20/2005
- **Last updated:** 11/07/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108300A | — | KS |