Active NPI
Highland Healthcare and Rehabilitation Center, LLC
Doing business as Highland Healthcare and Rehabilitation Center
- Skilled Nursing Facility
- Highland, KS
National Provider Identifier
1285622324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- N220002
- Legal business name
- HIGHLAND HEALTHCARE AND REHABILITATION CENTER, LLC
- Doing business as
- Highland Healthcare and Rehabilitation Center
- Practice address
- 402 S. Avenue St.
Highland, KS 66035-4162 - Phone
- (785) 442-3217
- Fax
- (785) 442-3733
- NPI assigned
- Oct 12, 2005
- Last updated
- Feb 24, 2016
- Organization subpart
- Yes
- Parent organization
- SUMMIT CARE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael T. Berg
- Title
- Assistant Secretary
- Phone
- (505) 468-4752
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | N220002 | KS | Primary |
Addresses
Primary practice location
402 S. Avenue St.
Highland, KS 66035-4162
Mailing address
402 S. Avenue St.
Highland, KS 66035-4162
Phone (785) 442-3217
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200304730A | Medicaid | KS |
Other names 1
- Highland Healthcare and Rehabilitation Center
National Provider Directory
National Provider DirectoryOwnership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Physical Therapist
- Overland Park, KS
- NPI 1033441027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129075200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1456272000000",
"number": "1285622324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "402 S. AVENUE ST.",
"city": "HIGHLAND",
"state": "KS",
"postal_code": "660354162",
"telephone_number": "785-442-3217",
"fax_number": "785-442-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "402 S. AVENUE ST.",
"city": "HIGHLAND",
"state": "KS",
"postal_code": "660354162",
"telephone_number": "785-442-3217",
"fax_number": "785-442-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLAND HEALTHCARE AND REHABILITATION CENTER, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMIT CARE LLC",
"enumeration_date": "2005-10-12",
"last_updated": "2016-02-24",
"status": "A",
"authorized_official_last_name": "BERG",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "ASSISTANT SECRETARY",
"authorized_official_telephone_number": "505-468-4752"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KS",
"license": "N220002",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200304730A",
"state": "KS"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Highland Healthcare and Rehabilitation Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Highland, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.