Provider Demographics
NPI:1518160555
Name:HIGHER GROUND SERVICES, INC.
Entity type:Organization
Organization Name:HIGHER GROUND SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:C
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:606-436-0091
Mailing Address - Street 1:257 COMBS RD
Mailing Address - Street 2:SUITE ONE
Mailing Address - City:HAZARD
Mailing Address - State:KY
Mailing Address - Zip Code:41701-6851
Mailing Address - Country:US
Mailing Address - Phone:606-436-0091
Mailing Address - Fax:606-436-0069
Practice Address - Street 1:257 COMBS RD
Practice Address - Street 2:SUITE ONE
Practice Address - City:HAZARD
Practice Address - State:KY
Practice Address - Zip Code:41701-6851
Practice Address - Country:US
Practice Address - Phone:606-436-0091
Practice Address - Fax:606-436-0069
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services