MEDICARE: HIGHLAND ADULT DAY CARE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QA0600X	Adult Day Care Clinic/Center		MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1174652119
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND ADULT DAY CARE, INC.

Provider Business Mailing Address
First Line	:	56 N MAIN ST
Second Line	:	ROOM 319
City	:	FALL RIVER
State	:	MA
Zip	:	02720-2132
Country	:	US
Telephone Number	:	508-676-1023
Fax Number	:

Provider Business Practice Location Address
First Line	:	1197 ROBESON ST
Second Line	:
City	:	FALL RIVER
State	:	MA
Zip	:	02720-5562
Country	:	US
Telephone Number	:	508-673-1290
Fax Number	:

Authorized Official
Title or Position	:	REGISTERED AGENT
Name	:	MR. DOUGLAS LASH
Credential	:
Telephone Number	:	508-676-1023

Provider Enumeration Date	:	03/05/2007
Last Update Date	:	08/22/2020

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