Healthcare Provider Details

I. General information

NPI: 1053023291
Provider Name (Legal Business Name): HIGHER GROUND SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2022
Last Update Date: 04/01/2025
Certification Date: 04/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

624 YOSEMITE TRL
MESQUITE TX
75149-2583
US

IV. Provider business mailing address

624 YOSEMITE TRL
MESQUITE TX
75149-2583
US

V. Phone/Fax

Practice location:
  • Phone: 469-251-0711
  • Fax: 469-213-3022
Mailing address:
  • Phone: 240-422-6374
  • Fax: 469-213-3022

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: MS. DORIS K EGYAWAN
Title or Position: MANAGER
Credential: NP
Phone: 469-251-0711