HS
HILLCREST SHADOW LAKE, LLC
Skilled Nursing Facility
OIG CLEARNPI VERIFIED
Location
PAPILLION, NE
Licensed since
2021
Rate
—
Federal compliance record
Total fines$0
Payment denials / penalties0
Abuse flagNone on record
Federal identifiers
NPI registry number1245997436
CMS Certification Number (CCN)28E299
Agency details
Avg residents / day101.5
OwnershipFor profit - Limited Liability company
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameJOLENE MATHISON ROBERTS
TitlePRESIDENT
Phone4023396010
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Source: NPI Registry · Last refreshed June 24, 2026