Provider Demographics
NPI:1730138611
Name:FMSC MEMPHIS OPERATING COMPANY, LLC
Entity Type:Organization
Organization Name:FMSC MEMPHIS OPERATING COMPANY, LLC
Other - Org Name:HIGH POINTE HEALTH AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:
Authorized Official - Last Name:SARCAUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-892-1790
Mailing Address - Street 1:2491 JOY LN
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38114-6088
Mailing Address - Country:US
Mailing Address - Phone:901-743-7700
Mailing Address - Fax:901-743-7186
Practice Address - Street 1:2491 JOY LN
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38114-6088
Practice Address - Country:US
Practice Address - Phone:901-743-7700
Practice Address - Fax:901-743-7186
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN237314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN44-5283Medicare ID - Type Unspecified