NPIMap

Organization Active NPI

Fi-Highland Pines LLC

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1316352172
Registry record updated Jun 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7118 Issued in FL
Legal business name
FI-HIGHLAND PINES LLC
Practice address
1520 Jeffords St
Clearwater, FL 33756-4449
Phone
(727) 446-0581
Fax
(727) 442-9425
NPI assigned
Jun 30, 2014
Organization subpart
Yes
Parent organization
FLORIDA INSTITUTE FOR LONG TERM CARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 30, 2014

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

Authorized official

Name
Howard Jaffe
Title
Director
Phone
(215) 346-6454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7118 FL Primary

Addresses

Primary practice location

1520 Jeffords St
Clearwater, FL 33756-4449

Mailing address

1520 Jeffords St
Clearwater, FL 33756-4449
Phone (727) 446-0581

Other identifiers 1

IdentifierTypeStateIssuer
686913100MedicaidFL

Other names 1

  • Highland Terrace Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Highland Pines Rehabilitation and Nursing Center LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Ownership & 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.

NPI Registry JSON

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

{
    "created_epoch": "1404086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1316352172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 JEFFORDS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564449",
            "telephone_number": "727-446-0581",
            "fax_number": "727-442-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 JEFFORDS ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564449",
            "telephone_number": "727-446-0581",
            "fax_number": "727-442-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FI-HIGHLAND PINES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA INSTITUTE FOR LONG TERM CARE INC.",
        "enumeration_date": "2014-06-30",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "JAFFE",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "215-346-6454"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "7118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "686913100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; 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.