Highgate LTC Management LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

4652301N Issued in NY

Legal business name

HIGHGATE LTC MANAGEMENT LLC

Practice address

1805 Providence Ave
Niskayuna, NY 12309-3923

Phone

(518) 374-2212

Fax

(518) 374-4330

NPI assigned

Sep 22, 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 1

Other names 1

• Northwoods Rehab and ECF at Hilltop Doing business as

Tax ID family

Highgate LTC Mangement LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Niskayuna Operating Co LLC

  • Skilled Nursing Facility
  • Niskayuna, NY
  • NPI 1356657423
  NPD tax ID
• Niskayuna Operating Company, LLD

  • Pediatric Skilled Nursing Facility
  • Niskayuna, NY
  • NPI 1326457714
  NPD tax ID

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193270400000",
    "number": "1962498246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 PROVIDENCE AVE",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123093923",
            "telephone_number": "518-374-2212",
            "fax_number": "518-374-4330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 PROVIDENCE AVE",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123093923",
            "telephone_number": "518-374-2212",
            "fax_number": "518-374-4330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHGATE LTC MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-10-25",
        "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": "4652301N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01122765",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northwoods Rehab and ECF at Hilltop",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amanda Jean Hardt, RN
• Jostina Hart, CD
• Taylor Harvey, PA
• Laura Anne Henniger, RN
• Jane Henoch, NP
• Erica S Hill, OTR/L
• Sara Beverley Hitchcock, FNP
• Kelsey Hoar, PA-C
• Julia Ann Horsch
• Marcus Hotaling, PH.D.

• Skilled Nursing Facility in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.