Provider Demographics
NPI:1568468577
Name:HIGHLAND FARMS
Entity Type:Organization
Organization Name:HIGHLAND FARMS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PATIENT ACCOUNTS COORDINATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:BALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-669-6473
Mailing Address - Street 1:200 TABERNACLE RD
Mailing Address - Street 2:
Mailing Address - City:BLACK MOUNTAIN
Mailing Address - State:NC
Mailing Address - Zip Code:28711-2592
Mailing Address - Country:US
Mailing Address - Phone:828-669-6473
Mailing Address - Fax:828-669-6493
Practice Address - Street 1:200 TABERNACLE RD
Practice Address - Street 2:
Practice Address - City:BLACK MOUNTAIN
Practice Address - State:NC
Practice Address - Zip Code:28711-2592
Practice Address - Country:US
Practice Address - Phone:828-669-6473
Practice Address - Fax:828-669-6493
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-23
Last Update Date:2008-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0147314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC3405078Medicaid
NC3496051Medicaid
NC00857OtherBLUE CROSS BLUE SHEILD
NC3405078Medicaid
NC1046100001Medicare NSC