Provider Demographics
NPI:1760777494
Name:NEW HEIGHTS PERSONAL CARE HOMES, LLC
Entity Type:Organization
Organization Name:NEW HEIGHTS PERSONAL CARE HOMES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TRINITY
Authorized Official - Middle Name:
Authorized Official - Last Name:HEIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:912-272-9568
Mailing Address - Street 1:419 FLINT DR
Mailing Address - Street 2:
Mailing Address - City:RINCON
Mailing Address - State:GA
Mailing Address - Zip Code:31326-4529
Mailing Address - Country:US
Mailing Address - Phone:912-272-9568
Mailing Address - Fax:912-826-1847
Practice Address - Street 1:509 POTTERSTONE SQUARE
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-4529
Practice Address - Country:US
Practice Address - Phone:912-272-9568
Practice Address - Fax:912-826-1847
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-10
Last Update Date:2011-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility