HIGHLAND HOUSE OF FAYETTEVILLE, INC (NPI# 1699886085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699886085 |
| Entity Type | Organization |
| Organization Name | HIGHLAND HOUSE OF FAYETTEVILLE, INC |
| Other Organization Name | HIGHLAND HOUSE REHABILITATION & HEALTHCARE |
| Practice Address |
1700 Pamalee Dr Fayetteville NC 28301-2824 |
| Practice Telephone | 9104882295 |
| Practice Fax Number | 9104880087 |
| Mailing Telephone | 9104882295 |
| Mailing Fax Number | 9104880087 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-12-13 |
| Authorized Official Name | EDWARD ELLER (CONTROLLER) |
| Authorized Official Telephone | 3369985001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NH0117 | NC | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 3405353 | 05 | |
| NC | 3406055 | 05 | |
| NC | 7801640 | 05 |
| Other Name | Type Code |
|---|---|
| Highland House Rehabilitation & Healthcare | Other Name - Individual/Organization |
| Street Address |
1700 PAMALEE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28301-2824 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720556798 | Jennifer Stephens | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-11-08 |
| 1033694583 | Felicia Stakely | Physical Medicine & Rehabilitation | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-10-01 |
| 1740771047 | Faith N Marine | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-05-22 |
| 1013418177 | Ilona Karin Ekstrand | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2018-02-23 |
| 1164935227 | Hollie Clouse | Occupational Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2017-11-13 |
| 1073023305 | Nancy Rodriguez | Physical Therapy Assistant | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2017-09-29 |
| 1013441823 | Roya Taheri | Clinic/Center | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2017-04-18 |
| 1073964417 | Legacy Healthcare Services Inc. | Skilled Nursing Facility | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2016-06-27 |
| 1881064202 | Stacey Crawley Bradford | Occupational Therapist | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2015-09-28 |
| 1821474784 | Christopher Colt Marion | Physical Therapist | 1700 Pamalee Dr, Fayetteville, NC 28301-2824 | 2015-08-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726219 | Jenna Michelle Odneal | Behavior Technician | 16915 Liverpool Pkwy. Suite B., Cornelius, NC 28301 | 2020-10-02 |
| 1790390094 | Jessica Shellman | Counselor | 408 Person St. Ste 103, Fayetteville, NC 28301 | 2020-09-14 |
| 1487205951 | Martha K Richardson | Technician | 720 Teachers Dr, Fayetteville, NC 28301 | 2019-09-25 |
| 1013568161 | Angela Rena Locklear | Counselor | 211 Lamon St, Fayeteville, NC 28301 | 2019-09-20 |
| 1619535747 | Teresa Wilson | Contractor | 1417 Canyionland Ct, Apt 209, Fayetteville, NC 28301 | 2019-06-04 |
| 1912461815 | Catherine Stevenson Nwogalanya | Community Health Worker | 1103 Hillsboro St., Fayetteville, NC 28301 | 2019-01-24 |
| 1811443187 | Michael Carroll | Counselor | 308 Peterson Place, Fayetteville, NC 28301 | 2016-08-28 |
| 1023499886 | Latifa Fedai | Nurse Practitioner | 380 Person Street, Fayettevill, NC 28301 | 2015-06-17 |
| 1265868939 | Aci Support Specialists | Community/Behavioral Health | 1725 Venna Drive, Fayetteville, NC 28301 | 2013-09-25 |
| 1871929547 | Aci Support Specialists | Day Training, Developmentally Disabled Services | 2820 Copenhagen Drive, Fayetteville, NC 28301 | 2013-09-25 |
| Find all providers in zip 28301 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831625037 | Supplemental Healthcare | Skilled Nursing Facility | 319 Vancouver Drive, Apartment 38g, Fayetteville, NC 28303 | 2017-05-08 |
| 1659764447 | Kathleen Mason | Skilled Nursing Facility | 13 Lorelei Dr, Fayetteville, OH 45118-8404 | 2015-03-18 |
| 1083917413 | Autumn Corporation | Skilled Nursing Facility | 1401 71st School Rd, Fayetteville, NC 28314-2814 | 2010-12-07 |
| 1194044941 | Wcnc, Inc. | Skilled Nursing Facility | 4405 Persimmon Street, Fayetteville, AR 72704 | 2010-05-19 |
| 1962674796 | Tison Speech Therapy Services | Skilled Nursing Facility | 1387 N Bernice Dr, Fayetteville, AR 72703-6086 | 2008-04-01 |
| 1851443022 | Washington Regional Medicorp, Inc. | Skilled Nursing Facility | 221 S School Ave, Fayetteville, AR 72701-5969 | 2007-01-17 |
| 1871659730 | Fayette Nursing & Rehabilitation Center LLC | Skilled Nursing Facility | 100 Hresan Blvd, Fayetteville, WV 25840-1333 | 2006-12-28 |
| 1740368612 | Lafayette Health Care Center, Inc. | Skilled Nursing Facility | 110 Brandywine Blvd, Fayetteville, GA 30214-1500 | 2006-11-01 |
| 1417052895 | State of Arkansas | Skilled Nursing Facility | 1179 N. College Avenue, Fayetteville, AR 72703 | 2006-09-13 |
| 1487760765 | Piney Partners Lp | Skilled Nursing Facility | 6375 Chambersburg Rd, Fayetteville, PA 17222-8350 | 2006-08-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28301 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.