Highland Pines Nursing Home, LTD

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

111006 Issued in TX

Legal business name

HIGHLAND PINES NURSING HOME, LTD

Practice address

1100 N 4TH St
Longview, TX 75601-4739

Phone

(903) 753-7661

Fax

(903) 753-1056

NPI assigned

Oct 11, 2005

Last updated

Sep 13, 2012By 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

Dick Stebbins, CPA

Title

President of the General Partner

Phone

(903) 757-5360

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1578551768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E WHALEY ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756016525",
            "telephone_number": "903-757-5360",
            "fax_number": "903-753-8621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 4TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756014739",
            "telephone_number": "903-753-7661",
            "fax_number": "903-753-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND PINES NURSING HOME, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-11",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "STEBBINS",
        "authorized_official_first_name": "DICK",
        "authorized_official_title_or_position": "PRESIDENT OF THE GENERAL PARTNER",
        "authorized_official_telephone_number": "903-757-5360",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "TX",
            "license": "111006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000416003",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HO6751337",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094510701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "094510702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Latrinda Jeniece Hicks
• Tracy Hicks, APRN, FNP/PMHNP-BC
• Lana Lynne Higginbotham, M. ED., CCC-SLP
• Higgs Foster Care
• Highland Park Senior Care 3, LLC
• Pamela Dawn Hignight, MS, RD, LD
• Amy J Hill, LPC
• Erica Shauntay Hill, LVN
• Martin E Hilton, MD
• Annette S Himmelreich, LMSW

• Skilled Nursing Facility in Longview, TX
• Providers in Longview, TX by specialty
• Skilled Nursing Facility in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.