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HIGHLAND MANOR NURSING HOME INC. NPI 1962490995


NPI Information

NPI: 1962490995
Provider Name: HIGHLAND MANOR NURSING HOME INC.
Classification: Custodial Care Facility - 311Z00000X
Entity Type: Organization

CLIA Number: 22D0888498

Address:
761 HIGHLAND AVE
FALL RIVER, MA
ZIP 02720
Phone: (508) 679-1411
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HIGHLAND MANOR NURSING HOME INC. is a custodial care facility in Fall River, MA. The provider is a facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel. HIGHLAND MANOR NURSING HOME INC. NPI is 1962490995. The provider is registered as an organization entity type.

The provider's business location address is:

761 HIGHLAND AVE
FALL RIVER, MA
ZIP 02720-722
Phone: (508) 679-1411

The provider's authorized official is Jessica Charette .
The authorized official title is Office Manager and has the following contact phone number (508) 990-1133.

The CLIA number assigned to this NPI record is 22D0888498 - skilled nursing/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/13/2005 and was last updated on 8/22/2020.


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
1311Z00000XCustodial Care FacilityYes

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
10913421MEDICAIDMASSACHUSETTS

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.