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Highland House LLC

Assisted Living Facility in Spencer, NE. Organization (NPI-2).

NPI number1003013293
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1003013293
Entity type
Organization (NPI-2)
Legal business name
Highland House LLC
Organization subpart
No
Enumeration date
Jun 29, 2007
Last updated
Aug 22, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Practice location

406 West Vinton Street
Spencer, NE 68777

Phone 402-589-0025 · Fax 402-589-0026

Mailing address

Po Box 241
406 West Vinton Street
Spencer, NE 68777

Phone 402-589-0025 · Fax 402-589-0026

Authorized official

Pamela K Vanderwerf
Administrator
4025890025

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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