Provider Demographics
NPI:1124232798
Name:WHNHINC
Entity Type:Organization
Organization Name:WHNHINC
Other - Org Name:HIGHLAND ADULT CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KATHLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PARMENTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-593-6020
Mailing Address - Street 1:100 CHAMBERLAIN ST
Mailing Address - Street 2:
Mailing Address - City:WELLSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14895-1308
Mailing Address - Country:US
Mailing Address - Phone:585-593-6020
Mailing Address - Fax:585-593-5916
Practice Address - Street 1:100 CHAMBERLAIN ST
Practice Address - Street 2:
Practice Address - City:WELLSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14895-1308
Practice Address - Country:US
Practice Address - Phone:585-593-6020
Practice Address - Fax:585-593-5916
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY01755260261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01755260Medicaid