Provider Demographics
NPI:1851619720
Name:HIGHMORE NURSING HOME, INC.
Entity Type:Organization
Organization Name:HIGHMORE NURSING HOME, INC.
Other - Org Name:HIGHMORE HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:STROSCHEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:605-670-9855
Mailing Address - Street 1:410 8TH ST SE
Mailing Address - Street 2:
Mailing Address - City:HIGHMORE
Mailing Address - State:SD
Mailing Address - Zip Code:57345-2200
Mailing Address - Country:US
Mailing Address - Phone:605-852-2255
Mailing Address - Fax:
Practice Address - Street 1:410 8TH STREET SE
Practice Address - Street 2:
Practice Address - City:HIGHMORE
Practice Address - State:SD
Practice Address - Zip Code:57345
Practice Address - Country:US
Practice Address - Phone:605-852-2255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-17
Last Update Date:2012-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD435092Medicare Oscar/Certification