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HIGHLAND HOUSE OF FAYETTEVILLE INC NPI 1699886085


NPI Information

NPI: 1699886085
Provider Name: HIGHLAND HOUSE OF FAYETTEVILLE, INC

Other Name: HIGHLAND HOUSE REHABILITATION & HEALTHCARE

Classification: Skilled Nursing Facility - 314000000X
Entity Type: Organization

CLIA Number: 34D0671396

Address:
1700 PAMALEE DR
FAYETTEVILLE, NC
ZIP 28301
Phone: (910) 488-2295
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HIGHLAND HOUSE OF FAYETTEVILLE, INC is a skilled nursing facility in Fayetteville, NC. The provider is (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. HIGHLAND HOUSE OF FAYETTEVILLE, INC NPI is 1699886085. The provider is registered as an organization entity type.
The provider Other Name Is Highland House Rehabilitation & Healthcare.

The provider's business location address is:

1700 PAMALEE DR
FAYETTEVILLE, NC
ZIP 28301-824
Phone: (910) 488-2295
Fax: (910) 488-0087

The provider's authorized official is Edward Eller .
The authorized official title is Controller and has the following contact phone number (336) 998-5001.

The CLIA number assigned to this NPI record is 34D0671396 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1314000000XSkilled Nursing FacilityNH0117NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13406055MEDICAIDNORTH CAROLINA
23405353MEDICAIDNORTH CAROLINA
37801640MEDICAIDNORTH CAROLINA
4345353MEDICARE ID-TYPE UNSPECIFIEDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.