Organization Active NPI

Highlands Nursing and Rehabilitation Center, LLC

  • Skilled Nursing Facility
  • Louisville, KY
National Provider Identifier
1689627424
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
100218 Issued in KY
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

Updated by the provider on Jul 31, 2012

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
12500781MedicaidKY

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.