# DIVERSICARE HIGHLANDS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DIVERSICARE HEALTHCARE SERVICES, INC.
- **Other names:** Highlands Health and Rehabilitation Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568719045
- **Legal business name:** DIVERSICARE HEALTHCARE SERVICES, INC.
- **Authorized official:** KELLY J GILL (PRESIDENT AND CEO)
- **Authorized official phone:** (615) 771-7575

## Contact information

- **Practice address:** 1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
- **Practice address phone:** (502) 451-9330
- **Practice address fax:** (615) 620-7875
- **Mailing address:** 1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
- **Mailing address phone:** (502) 451-9330
- **Mailing address fax:** (615) 620-7875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/14/2012
- **Last updated:** 06/01/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7100229500 | — | KY |