MEDICARE: HIGHLAND VILLAGE SKILLED CARE, 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	314000000X	Skilled Nursing Facility

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972138766
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HIGHLAND VILLAGE SKILLED CARE, LLC

Provider Business Mailing Address
First Line	:	112 BARNETT DR
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3176
Country	:	US
Telephone Number	:	972-317-1174
Fax Number	:	972-317-1175

Provider Business Practice Location Address
First Line	:	112 BARNETT DR
Second Line	:
City	:	HIGHLAND VILLAGE
State	:	TX
Zip	:	75077-3176
Country	:	US
Telephone Number	:	972-317-1174
Fax Number	:	972-317-1175

Authorized Official
Title or Position	:	MANAGER
Name	:	BRIAN THOMAS
Credential	:
Telephone Number	:	817-578-7344

Provider Enumeration Date	:	03/11/2020
Last Update Date	:	02/18/2026

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