MLB Highland Health Facilities, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MLB HIGHLAND HEALTH FACILITIES, INC

Doing business as

Highland Nursing and Rehab

Practice address

9630 5TH St
Highland, IN 46322-2949

Phone

(219) 924-6953

Fax

(219) 924-7806

NPI assigned

Jun 20, 2005

Last updated

Aug 22, 2020By 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

William Mando

Title

Cfo

Phone

(813) 635-9500

Specialties & licenses 1

Addresses

Other names 1

• Highland Nursing and Rehab Doing business as

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124023791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 5TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222949",
            "telephone_number": "219-924-6953",
            "fax_number": "219-924-7806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 5TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222949",
            "telephone_number": "219-924-6953",
            "fax_number": "219-924-7806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLB HIGHLAND HEALTH FACILITIES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MANDO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "813-635-9500"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Nursing and Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.