# HIGHLANDS NURSING AND REHABILITATION CENTER, LLC

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

## Provider details

- **NPI number:** 1689627424
- **Authorized official:** MARIA ELVA GONZALEZ (CFO)
- **Authorized official phone:** (786) 385-4364

## Contact information

- **Practice address:** 1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
- **Practice address phone:** (502) 451-7330
- **Mailing address:** 1705 STEVENS AVE, LOUISVILLE, KY 40205-1044
- **Mailing address phone:** (502) 451-7330
- **Mailing address fax:** (502) 238-5240

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 100218 | KY | Yes |

## Other

- **Enumeration date:** 05/19/2006
- **Last updated:** 07/31/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 12500781 | — | KY |