Provider Demographics
NPI:1639538390
Name:HIGHLANDS OF MOUNTAIN VIEW RCF HOLDINGS LLC
Entity Type:Organization
Organization Name:HIGHLANDS OF MOUNTAIN VIEW RCF HOLDINGS LLC
Other - Org Name:HIGHLANDS OF MOUNTAIN VIEW RESIDENTIAL CARE FACILITY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHWARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-635-1195
Mailing Address - Street 1:414 MASSEY AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:AR
Mailing Address - Zip Code:72560-6132
Mailing Address - Country:US
Mailing Address - Phone:870-269-5845
Mailing Address - Fax:870-269-2172
Practice Address - Street 1:414 MASSEY AVE
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:AR
Practice Address - Zip Code:72560-6132
Practice Address - Country:US
Practice Address - Phone:870-269-5845
Practice Address - Fax:870-269-2172
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-23
Last Update Date:2016-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility