Provider Demographics
NPI:1356634331
Name:HIGHER GROUND HOMES #1
Entity Type:Organization
Organization Name:HIGHER GROUND HOMES #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LOFLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:661-725-7960
Mailing Address - Street 1:PO BOX 849
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93216-0849
Mailing Address - Country:US
Mailing Address - Phone:661-725-7960
Mailing Address - Fax:661-725-6876
Practice Address - Street 1:422 BALBOA DR
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-4006
Practice Address - Country:US
Practice Address - Phone:661-725-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HIGHER GROUND HOMES, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-05-24
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility