Organization
HIGHLANDS HOME CARE, INC.
Active
Other names
Highlands Home Health, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES SHAG BRANHAM (OPERATIONS ADMINISTRATOR)
(606) 889-9967
Entity
Organization
Contact information
Practice address
121 OAK RIDGE CT, PRESTONSBURG, KY 41653-8607
(606) 889-9967
(606) 886-7633
Mailing address
121 OAK RIDGE CT, P O BOX 757, PRESTONSBURG, KY 41653-8607
(606) 889-9967
(606) 886-7633
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
42050369
KY
251E00000X
Home Health Agency
Primary
150178
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064779
ANTHEM
KY
05
—
34010363
—
KY
05
—
42050369
—
KY
05
—
45001302
—
KY
Enumeration date
09/06/2006
Last updated
04/18/2013
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