Organization Active NPI

Highlands Rehab, LLC

Doing business as Avamere Highlands Memory Care and Rehabilitation

  • Skilled Nursing Facility
  • Tacoma, WA
National Provider Identifier
1992843866
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HIGHLANDS REHAB, LLC
Doing business as
Avamere Highlands Memory Care and Rehabilitation
Practice address
5954 N 26TH St
Tacoma, WA 98407-2305
Phone
(253) 752-7713
NPI assigned
Feb 2, 2007
Last updated
Jul 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Karl Miller Jr.
Title
Ceo
Phone
(503) 570-3405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

5954 N 26TH St
Tacoma, WA 98407-2305

Mailing address

25117 SW Parkway Ave
Suite F
Wilsonville, OR 97070-9697

Other names 1

  • Avamere Highlands Memory Care and Rehabilitation Doing business as

National Provider Directory

National Provider Directory

Locations

5954 N 26th St
Tacoma, WA 98407
Phone (253) 752-7713

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1992843866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25117 SW PARKWAY AVE",
            "address_2": "SUITE F",
            "city": "WILSONVILLE",
            "state": "OR",
            "postal_code": "970709697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5954 N 26TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984072305",
            "telephone_number": "253-752-7713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLANDS REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avamere Highlands Memory Care and Rehabilitation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tacoma, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.