Highland Hall Assisted Livingllc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-095007 Issued in NC

Legal business name

HIGHLAND HALL ASSISTED LIVINGLLC

Practice address

1173 Highland Hall Rd
Boone, NC 28607-6790

Phone

(828) 264-8417

Fax

(828) 265-3517

NPI assigned

Mar 14, 2007

Last updated

Aug 22, 2020By 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

Donnie Puett

Title

Member-Manager

Phone

(828) 264-8417

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598898645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 HIGHLAND HALL RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076790",
            "telephone_number": "828-264-8417",
            "fax_number": "828-265-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 HIGHLAND HALL RD",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286076790",
            "telephone_number": "828-264-8417",
            "fax_number": "828-265-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HALL ASSISTED LIVINGLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PUETT",
        "authorized_official_first_name": "DONNIE",
        "authorized_official_title_or_position": "MEMBER-MANAGER",
        "authorized_official_telephone_number": "828-264-8417"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-095007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805140",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Corey Hildebrandt
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• Robert W Hill, PH.D.
• Drew Collins Hilton, RD

• Assisted Living Facility in Boone, NC
• Providers in Boone, NC by specialty
• Assisted Living Facility in North Carolina

• 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.