Provider Demographics
NPI:1053023291
Name:HIGHER GROUND SERVICES LLC
Entity type:Organization
Organization Name:HIGHER GROUND SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:DORIS
Authorized Official - Middle Name:K
Authorized Official - Last Name:EGYAWAN
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:469-251-0711
Mailing Address - Street 1:624 YOSEMITE TRL
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75149-2583
Mailing Address - Country:US
Mailing Address - Phone:240-422-6374
Mailing Address - Fax:469-213-3022
Practice Address - Street 1:624 YOSEMITE TRL
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75149-2583
Practice Address - Country:US
Practice Address - Phone:469-251-0711
Practice Address - Fax:469-213-3022
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGHER GROUND SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-12-20
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty