Organization Active NPI

Highgrove Longterm Care Center, Inc.

  • Assisted Living Facility
  • Reidsville, NC
National Provider Identifier
1821145863
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL079002 Issued in NC
Legal business name
HIGHGROVE LONGTERM CARE CENTER, INC.
Practice address
2135 S Scales St
Reidsville, NC 27320-6317
Phone
(336) 342-4112
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
Ms. Kristie McKinney
Title
Bookkeeper
Phone
(336) 342-4112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL079002 NC Primary

Addresses

Primary practice location

2135 S Scales St
Reidsville, NC 27320-6317

Mailing address

2135 S Scales St
Reidsville, NC 27320-6317
Phone (336) 342-4112

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
34D2020195Highgrove Longterm Care Center2135 South Scales Street, Reidsville, NC 27320Certificate of waiverFeb 14, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1821145863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2135 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206317",
            "telephone_number": "336-342-4112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2135 S SCALES ST",
            "city": "REIDSVILLE",
            "state": "NC",
            "postal_code": "273206317",
            "telephone_number": "336-342-4112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGROVE LONGTERM CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "MCKINNEY",
        "authorized_official_first_name": "KRISTIE",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "336-342-4112",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL079002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reidsville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.