Provider Demographics
NPI:1871621375
Name:HIGHLAND VALLEY ELDER SERVICES, INC
Entity type:Organization
Organization Name:HIGHLAND VALLEY ELDER SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:V
Authorized Official - Last Name:GALLANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-586-2000
Mailing Address - Street 1:320 RIVERSIDE DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-2717
Mailing Address - Country:US
Mailing Address - Phone:413-586-2000
Mailing Address - Fax:413-584-7076
Practice Address - Street 1:320 RIVERSIDE DR
Practice Address - Street 2:SUITE B
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-2717
Practice Address - Country:US
Practice Address - Phone:413-586-2000
Practice Address - Fax:413-584-7076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-28
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA311ZA0620XOtherADULT CARE HOME