Provider Demographics
NPI:1629893367
Name:HIGHER GROUND PERSONAL CARE INC
Entity type:Organization
Organization Name:HIGHER GROUND PERSONAL CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:RAYNETTE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-986-4894
Mailing Address - Street 1:4519 DOVE CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75232-1025
Mailing Address - Country:US
Mailing Address - Phone:214-986-4894
Mailing Address - Fax:
Practice Address - Street 1:4519 DOVE CREEK WAY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75232-1025
Practice Address - Country:US
Practice Address - Phone:214-986-4894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health