Healthcare Provider Details

I. General information

NPI: 1669944690
Provider Name (Legal Business Name): HIGHLANDSPRING HEALTH CARE AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/02/2019
Last Update Date: 01/02/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 HIGHLAND AVE
FORT THOMAS KY
41075-1707
US

IV. Provider business mailing address

390 WARDS CORNER RD
LOVELAND OH
45140-6969
US

V. Phone/Fax

Practice location:
  • Phone: 859-572-0660
  • Fax: 859-572-0950
Mailing address:
  • Phone: 513-943-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VIII. Authorized Official

Name: DAVID EPPERS
Title or Position: CFO
Credential:
Phone: 513-707-1537