1518160555 NPI number — HIGHER GROUND SERVICES, INC.

Table of content: MRS. DAYANA KAREN ESTEVES DA SILVA PT (NPI 1356915920)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518160555 NPI number — HIGHER GROUND SERVICES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HIGHER GROUND SERVICES, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518160555
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
257 COMBS RD
Provider Second Line Business Mailing Address:
SUITE ONE
Provider Business Mailing Address City Name:
HAZARD
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
41701-6851
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-436-0091
Provider Business Mailing Address Fax Number:
606-436-0069

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
257 COMBS RD
Provider Second Line Business Practice Location Address:
SUITE ONE
Provider Business Practice Location Address City Name:
HAZARD
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41701-6851
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-436-0091
Provider Business Practice Location Address Fax Number:
606-436-0069
Provider Enumeration Date:
06/07/2007

Additional Information

Authorized Official

Authorized Official Last Name:
JOHNSON
Authorized Official First Name:
C
Authorized Official Middle Name:
DARLENE
Authorized Official Title or Position:
AGENT
Authorized Official Telephone Number:
606-436-0091

Provider Taxonomy Codes

  • Taxonomy code: 251C00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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