Active NPI
St. Mary's Highland Hills, Inc.
Doing business as Highland Hills Village
- Alzheimer Center (Dementia Center)
- Watkinsville, GA
National Provider Identifier
1174320246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- Legal business name
- ST. MARY'S HIGHLAND HILLS, INC.
- Doing business as
- Highland Hills Village
- Practice address
- 1660 Jennings Mill Rd
Watkinsville, GA 30677-7232 - Phone
- (706) 353-8840
- NPI assigned
- Feb 26, 2025
- Last updated
- Feb 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Pamela Latovick
- Title
- VP Reimbursement
- Phone
- (734) 343-6628
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | |||
| Alzheimer Center (Dementia Center) | 311500000X | Primary |
Addresses
Primary practice location
1660 Jennings Mill Rd
Watkinsville, GA 30677-7232
Mailing address
20555 Victor Pkwy
Livonia, MI 48152-7031
Phone (734) 343-6628
Other names 1
- Highland Hills Village
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740528000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740528000000",
"number": "1174320246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20555 VICTOR PKWY",
"city": "LIVONIA",
"state": "MI",
"postal_code": "481527031",
"telephone_number": "734-343-6628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1660 JENNINGS MILL RD",
"city": "WATKINSVILLE",
"state": "GA",
"postal_code": "306777232",
"telephone_number": "706-353-8840"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. MARY'S HIGHLAND HILLS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-26",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A",
"authorized_official_last_name": "LATOVICK",
"authorized_official_first_name": "PAMELA",
"authorized_official_title_or_position": "VP REIMBURSEMENT",
"authorized_official_telephone_number": "734-343-6628",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Hills Village",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Watkinsville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.