Provider Demographics
| NPI: | 1275302366 |
|---|---|
| Name: | HEIGHTS CORPORATION |
| Entity type: | Organization |
| Organization Name: | HEIGHTS CORPORATION |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | NEQUILIA |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | EARNEST |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 414-899-7177 |
| Mailing Address - Street 1: | 21040 HIGHLAND KNOLLS DR STE 200-423 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | KATY |
| Mailing Address - State: | TX |
| Mailing Address - Zip Code: | 77450-1570 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 414-899-7177 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 5530 N 92ND ST STE A |
| Practice Address - Street 2: | |
| Practice Address - City: | MILWAUKEE |
| Practice Address - State: | WI |
| Practice Address - Zip Code: | 53225-3461 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 414-710-2101 |
| Practice Address - Fax: | 888-864-2725 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2023-12-29 |
| Last Update Date: | 2023-12-29 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 171M00000X | Other Service Providers | Case Manager/Care Coordinator | Group - Multi-Specialty | |
| No | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker | Clinical | Group - Multi-Specialty |
| No | 251B00000X | Agencies | Case Management | ||
| No | 251E00000X | Agencies | Home Health | ||
| No | 251S00000X | Agencies | Community/Behavioral Health | ||
| No | 252Y00000X | Agencies | Early Intervention Provider Agency | ||
| No | 253Z00000X | Agencies | In Home Supportive Care | ||
| No | 261QM0801X | Ambulatory Health Care Facilities | Clinic/Center | Mental Health (Including Community Mental Health Center) | |
| No | 261QM0850X | Ambulatory Health Care Facilities | Clinic/Center | Adult Mental Health | |
| No | 261QM0855X | Ambulatory Health Care Facilities | Clinic/Center | Adolescent and Children Mental Health | |
| No | 324500000X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | ||
| No | 3245S0500X | Residential Treatment Facilities | Substance Abuse Rehabilitation Facility | Substance Abuse Treatment, Children | |
| No | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | ||
| No | 332BN1400X | Suppliers | Durable Medical Equipment & Medical Supplies | Nursing Facility Supplies | Group - Multi-Specialty |
