MEDICARE: HIGHLAND CARE FACILITY LLC

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	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1457288987
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND CARE FACILITY LLC

Provider Business Mailing Address
First Line	:	1191 HIGHLAND RD
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6113
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1191 HIGHLAND RD
Second Line	:
City	:	LANTANA
State	:	FL
Zip	:	33462-6113
Country	:	US
Telephone Number	:	346-580-2924
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	CHARLIE COOK
Credential	:
Telephone Number	:	346-580-2924

Provider Enumeration Date	:	05/07/2026
Last Update Date	:	05/07/2026

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