Active NPI
Highlands Nursing and Rehabilitation Center, LLC
- Skilled Nursing Facility
- Louisville, KY
National Provider Identifier
1689627424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 100218
- Legal business name
- HIGHLANDS NURSING AND REHABILITATION CENTER, LLC
- Practice address
- 1705 Stevens Ave
Louisville, KY 40205-1044 - Phone
- (502) 451-7330
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maria Elva Gonzalez
- Title
- Cfo
- Phone
- (786) 385-4364
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 100218 | KY | Primary |
Addresses
Primary practice location
1705 Stevens Ave
Louisville, KY 40205-1044
Mailing address
1705 Stevens Ave
Louisville, KY 40205-1044
Phone (502) 451-7330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12500781 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1343692800000",
"number": "1689627424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1705 STEVENS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051044",
"telephone_number": "502-451-7330",
"fax_number": "502-238-5240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1705 STEVENS AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402051044",
"telephone_number": "502-451-7330"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGHLANDS NURSING AND REHABILITATION CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2012-07-31",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "MARIA",
"authorized_official_middle_name": "ELVA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "786-385-4364"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "KY",
"license": "100218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12500781",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
- Hilary Highfield, MD
- Highland Health Center, PLLC
- Highland Neurology & Injury Associates, PSC
- Shannon Highland, RBT
- Highlands Community Ministries Senior Services Adult Day Health Cent
- Highlands Nursing and Rehabilitation LLC
- Highlands Urgent Care Center PLLC
- Lori Ann Hight, MSOT, OTR/L
- Erin Hightower
- Highview Fire Protection District
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.