Provider Demographics
NPI:1831118058
Name:THE HIGHLAND HOUSE, INC
Entity Type:Organization
Organization Name:THE HIGHLAND HOUSE, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:PLOTTS
Authorized Official - Suffix:
Authorized Official - Credentials:BS, CADC, CCDP
Authorized Official - Phone:724-856-7349
Mailing Address - Street 1:PO BOX 1405
Mailing Address - Street 2:101 S. MERCER ST. CENTRAL BUILDING, SUITE 202
Mailing Address - City:NEW CASTLE
Mailing Address - State:PA
Mailing Address - Zip Code:16103-1405
Mailing Address - Country:US
Mailing Address - Phone:724-856-7349
Mailing Address - Fax:724-856-7353
Practice Address - Street 1:312 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:NEW CASTLE
Practice Address - State:PA
Practice Address - Zip Code:16101-3670
Practice Address - Country:US
Practice Address - Phone:724-654-7760
Practice Address - Fax:724-654-9845
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-19
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA377010324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1010798300001Medicaid