Provider Demographics
NPI:1891402988
Name:HIGHVIEW HOME CARE LLC
Entity Type:Organization
Organization Name:HIGHVIEW HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BARAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-808-2633
Mailing Address - Street 1:1460 FARRINGTON ST
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55117-3612
Mailing Address - Country:US
Mailing Address - Phone:651-808-2633
Mailing Address - Fax:
Practice Address - Street 1:1460 FARRINGTON ST
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55117-3612
Practice Address - Country:US
Practice Address - Phone:651-808-2633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-31
Last Update Date:2022-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility