Organization Active NPI

Highland Rim Cardiac Rehab, LLC

  • Cardiac Rehabilitation Clinic/Center
  • Tullahoma, TN
National Provider Identifier
1386794659
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
HIGHLAND RIM CARDIAC REHAB, LLC
Practice address
1330 Cedar LN
Suite 200
Tullahoma, TN 37388-2283
Phone
(931) 455-1092
Fax
(931) 455-1082
NPI assigned
Jan 11, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lisa Kilpatrick, RN
Title
Investor-Site Manager
Phone
(931) 455-1092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Clinic/Center 261QR0404X NU Primary

Addresses

Primary practice location

1330 Cedar LN
Suite 200
Tullahoma, TN 37388-2283

Mailing address

1330 Cedar LN
Suite 200
Tullahoma, TN 37388-2283
Phone (931) 455-1092

Other identifiers 1

IdentifierTypeStateIssuer
3372490MedicaidTN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386794659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN",
            "address_2": "SUITE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882283",
            "telephone_number": "931-455-1092",
            "fax_number": "931-455-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 CEDAR LN",
            "address_2": "SUITE 200",
            "city": "TULLAHOMA",
            "state": "TN",
            "postal_code": "373882283",
            "telephone_number": "931-455-1092",
            "fax_number": "931-455-1082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND RIM CARDIAC REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KILPATRICK",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "INVESTOR-SITE MANAGER",
        "authorized_official_telephone_number": "931-455-1092",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3372490",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tullahoma, TN

Sources for this page

  • 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.