Provider Demographics
NPI:1689877854
Name:HIGHLANDS HOME CARE, INC.
Entity type:Organization
Organization Name:HIGHLANDS HOME CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:A
Authorized Official - Last Name:BRANHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:606-889-9967
Mailing Address - Street 1:188 COLLINS CIR
Mailing Address - Street 2:P O BOX 757
Mailing Address - City:PRESTONSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:41653-7913
Mailing Address - Country:US
Mailing Address - Phone:606-889-9967
Mailing Address - Fax:606-886-7633
Practice Address - Street 1:188 COLLINS CIRCLE DRIVE
Practice Address - Street 2:
Practice Address - City:PRESTONSBURG
Practice Address - State:KY
Practice Address - Zip Code:41653-7913
Practice Address - Country:US
Practice Address - Phone:606-889-9967
Practice Address - Fax:606-886-7633
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY150178251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health