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1396742755

NPI Code Detail

MEDICARE: THE HIGHLANDS LIVING CENTER INC

MEDICARE: THE HIGHLANDS LIVING CENTER 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
2	314000000X	Skilled Nursing Facility

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P0140059HL	OTHER	NY	EXCELLU-BLUE CHOICE OP
2	000900114000	OTHER	NY	HEALTHNOW
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	Z4375	OTHER	NY	EMPIRE BLUE CROSS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	P0150059HL	OTHER	NY	EXCELLUS-BLUE CHOICE HMO
7	005699376	OTHER	NY	AETNA INSURANCE
8	103506	OTHER	NY	PREFERRED CARE HMO
9	HL	OTHER	NY	EXCELLUS BLUE CROSS

General Provider Information

NPI Number	:	1396742755
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HIGHLANDS LIVING CENTER INC

Provider Business Mailing Address
First Line	:	500 HAHNEMANN TRL
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-2356
Country	:	US
Telephone Number	:	585-383-1700
Fax Number	:	585-383-8339

Provider Business Practice Location Address
First Line	:	500 HAHNEMANN TRL
Second Line	:
City	:	PITTSFORD
State	:	NY
Zip	:	14534-2356
Country	:	US
Telephone Number	:	585-383-1700
Fax Number	:	585-383-8339

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	SAMUEL BUSARI
Credential	:
Telephone Number	:	347-332-3331

Provider Enumeration Date	:	06/30/2005
Last Update Date	:	03/05/2025

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Directions to “THE HIGHLANDS LIVING CENTER INC ” Practice Location

Language	Start Address	Practice Location

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