Provider Demographics
NPI:1427211499
Name:HIGHGATE SENIOR LIVING
Entity Type:Organization
Organization Name:HIGHGATE SENIOR LIVING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:360-671-1459
Mailing Address - Street 1:155 E KELLOGG RD
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-8130
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:360-715-9980
Practice Address - Street 1:155 E KELLOGG RD
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-8130
Practice Address - Country:US
Practice Address - Phone:360-671-1459
Practice Address - Fax:360-715-9980
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-09
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1082311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)