Provider Demographics
NPI:1922681949
Name:HOSPICE OF THE HIGHLANDS
Entity Type:Organization
Organization Name:HOSPICE OF THE HIGHLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ DIR OF CLINICAL OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:BURDELL
Authorized Official - Suffix:
Authorized Official - Credentials:CFO / DIRECTOR
Authorized Official - Phone:334-559-2134
Mailing Address - Street 1:1000 FITZPATRICK AVE
Mailing Address - Street 2:
Mailing Address - City:OPELIKA
Mailing Address - State:AL
Mailing Address - Zip Code:36801-4808
Mailing Address - Country:US
Mailing Address - Phone:334-559-2134
Mailing Address - Fax:
Practice Address - Street 1:1120 SYCAMORE AVE STE 2F
Practice Address - Street 2:
Practice Address - City:VISTA
Practice Address - State:CA
Practice Address - Zip Code:92081-7803
Practice Address - Country:US
Practice Address - Phone:334-559-2134
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based