Provider Demographics
NPI:1396742755
Name:THE HIGHLANDS LIVING CENTER INC
Entity type:Organization
Organization Name:THE HIGHLANDS LIVING CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:BUSARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-332-3331
Mailing Address - Street 1:500 HAHNEMANN TRL
Mailing Address - Street 2:
Mailing Address - City:PITTSFORD
Mailing Address - State:NY
Mailing Address - Zip Code:14534-2356
Mailing Address - Country:US
Mailing Address - Phone:585-383-1700
Mailing Address - Fax:585-383-8339
Practice Address - Street 1:500 HAHNEMANN TRL
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-2356
Practice Address - Country:US
Practice Address - Phone:585-383-1700
Practice Address - Fax:585-383-8339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-06-30
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYP0140059HLOtherEXCELLU-BLUE CHOICE OP
NY000900114000OtherHEALTHNOW
NY01572169Medicaid
NYZ4375OtherEMPIRE BLUE CROSS
NY01601990Medicaid
NYP0150059HLOtherEXCELLUS-BLUE CHOICE HMO
NY005699376OtherAETNA INSURANCE
NY103506OtherPREFERRED CARE HMO
NYHLOtherEXCELLUS BLUE CROSS
NYP0150059HLOtherEXCELLUS-BLUE CHOICE HMO