Provider Demographics
NPI:1265713408
Name:HIGHNESS HEALTHCARE SERVICES, INC
Entity type:Organization
Organization Name:HIGHNESS HEALTHCARE SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ADEWOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:SHITTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-417-5944
Mailing Address - Street 1:10226 QUIET POND TER
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3741
Mailing Address - Country:US
Mailing Address - Phone:240-417-5944
Mailing Address - Fax:
Practice Address - Street 1:9608 PARK AVE
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20723-1851
Practice Address - Country:US
Practice Address - Phone:240-417-5944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-01
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health