Highlands Home Care, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

150178 Issued in KY

Legal business name

HIGHLANDS HOME CARE, INC.

Practice address

121 Oak Ridge CT
Prestonsburg, KY 41653-8607

Phone

(606) 889-9967

Fax

(606) 886-7633

NPI assigned

Sep 6, 2006

Last updated

Apr 18, 2013By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Charles Shag Branham

Title

Operations Administrator

Phone

(606) 889-9967

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Highlands Home Health, Inc. Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Tax ID family

Highlands Home Care Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Highlands Hospital Corp

  dba Highlands Regional Medical Center

  • Family Medicine Physician
  • Prestonsburg, KY
  • NPI 1083973168
  NPD tax ID
• Highlands Regional Medical Center

  • General Acute Care Hospital
  • Prestonsburg, KY
  • NPI 1154498988
  NPD tax ID

Locations

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• Arh Tug Valley Health Services, Inc.

  dba Highlands ARH Home Health Agency

  • Home Health Agency
  • Prestonsburg, KY
  • NPI 1073166153

  Sold to, 2019-08-01

  CMS change of ownership

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1114020286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 OAK RIDGE CT",
            "address_2": "P O BOX 757",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538607",
            "telephone_number": "606-889-9967",
            "fax_number": "606-886-7633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 OAK RIDGE CT",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "416538607",
            "telephone_number": "606-889-9967",
            "fax_number": "606-886-7633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS HOME CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-06",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BRANHAM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "SHAG",
        "authorized_official_title_or_position": "OPERATIONS ADMINISTRATOR",
        "authorized_official_telephone_number": "606-889-9967",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "KY",
            "license": "42050369",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "KY",
            "license": "150178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "42050369",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "45001302",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000064779",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34010363",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highlands Home Health, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Mary Christine Hicks, LCADC
• Selton Hicks
• Crystal Higgins
• Highlands Center for Autism, Inc
• Highlands Heart and Vascular LLC
• Highlands Home Care, Inc. (Highlands Home Health, Inc.)
• Highlands Hospital Corp (Highlands Regional Medical Center)
• Highlands Hospital Corp
• Highlands Hospital Corp (HRMC Emergency Physicians)
• Highlands Medical Partners I LLC

• Home Health Agency in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Home Health Agency in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.