Healthcare Provider Details

I. General information

NPI: 1215679451
Provider Name (Legal Business Name): HIGHLAND OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/08/2022
Certification Date: 04/08/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2319 7TH ST W
SAINT PAUL MN
55116-2813
US

IV. Provider business mailing address

600 BROADWAY UNIT E
LYNBROOK NY
11563-3980
US

V. Phone/Fax

Practice location:
  • Phone: 651-698-0793
  • Fax:
Mailing address:
  • Phone:
  • 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: ERAN RATNER
Title or Position: SECRETARY
Credential:
Phone: 516-368-8012