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General NPI Number Information
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NPI Number | 1427643667
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Entity Type | Organization
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Legal Business Name | HIGHER STANDARD ASSISTED LIVING LLC
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Dates
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Enumeration Date | 03/09/2021
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Last Update Date | 02/03/2023
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Provider Practice Location Address
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Address Line | 596 NEAL RD
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City | REIDSVILLE
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State | NC
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Zip | 27320-0333
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Country | US
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Telephone | 336-347-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 2800 LAWNDALE DR APT 2C
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City | GREENSBORO
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State | NC
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Zip | 27408-4103
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Country | US
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Telephone | 352-219-2262
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Fax | 336-623-1093
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. KASEY ROSS
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Credential |
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Telephone | 352-219-2262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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