Provider Demographics
NPI:1720671530
Name:HIGHLANDS ELDER CARE, INC.
Entity Type:Organization
Organization Name:HIGHLANDS ELDER CARE, INC.
Other - Org Name:HIGHLANDS ELDER CARE, INC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ROBIN
Authorized Official - Middle Name:KELLY
Authorized Official - Last Name:TESSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-633-0777
Mailing Address - Street 1:230 CUMQUAT RD NE
Mailing Address - Street 2:
Mailing Address - City:LAKE PLACID
Mailing Address - State:FL
Mailing Address - Zip Code:33852-5951
Mailing Address - Country:US
Mailing Address - Phone:863-633-0777
Mailing Address - Fax:
Practice Address - Street 1:230 CUMQUAT RD NE
Practice Address - Street 2:
Practice Address - City:LAKE PLACID
Practice Address - State:FL
Practice Address - Zip Code:33852-5951
Practice Address - Country:US
Practice Address - Phone:863-633-0777
Practice Address - Fax:877-724-0191
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-12
Last Update Date:2021-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care