Highgate LTC Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1101308N Issued in NY

Legal business name

HIGHGATE LTC MANAGEMENT LLC

Practice address

28 Kellogg Rd
Cortland, NY 13045-3113

Phone

(607) 753-9631

NPI assigned

Sep 1, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Lawlor

Title

Lha As Receiver

Phone

(203) 305-2318

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Northwoods Rehabilitation and ECF at Cortland Other name

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

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1699769976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113",
            "telephone_number": "607-753-9631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 KELLOGG RD",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130453113",
            "telephone_number": "607-753-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGATE LTC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-01",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "LAWLOR",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "LHA AS RECEIVER",
        "authorized_official_telephone_number": "203-305-2318",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "1101308N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00353764",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPERATING CERTIFICATE",
            "identifier": "1101308N",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Rehabilitation and ECF at Cortland",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Angela Helms, LCSW
• Robert David Hemming, P.T.A.
• Kathleen Henecke, PNP
• Chelsea Henige
• Abby Hess, OTR/L
• Randy Hinkle, LMSW
• Martin Benjie Hirschhorn, OD
• Emily Hannah Hitchcock, LMHC
• Meagan Rae Holgate, M.S SLP
• Elizabeth Pudish Holland, MA

• All providers in Cortland, NY
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.