# HIGHLAND PINES NURSING HOME, LTD

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578551768
- **Authorized official:** DICK STEBBINS CPA (PRESIDENT OF THE GENERAL PARTNER)
- **Authorized official phone:** (903) 757-5360

## Contact information

- **Practice address:** 1100 N 4TH ST, LONGVIEW, TX 75601-4739
- **Practice address phone:** (903) 753-7661
- **Practice address fax:** (903) 753-1056
- **Mailing address:** 600 E WHALEY ST, LONGVIEW, TX 75601-6525
- **Mailing address phone:** (903) 757-5360
- **Mailing address fax:** (903) 753-8621

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111006 | TX | Yes |

## Other

- **Enumeration date:** 10/11/2005
- **Last updated:** 09/13/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 000416003 | — | TX |
| 05 | — | 094510701 | — | TX |
| 05 | — | 094510702 | — | TX |
| 05 | — | HO6751337 | — | TX |
