Heritage House

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

600602 Issued in PA

Legal business name

HERITAGE HOUSE

Practice address

80 E Northampton St
Wilkes Barre, PA 18701-3035

Phone

(570) 826-1031

Fax

(570) 826-5053

NPI assigned

Jun 30, 2005

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Andrew B Durako

Title

Executive Director

Phone

(570) 826-1031

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1013914589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013035",
            "telephone_number": "570-826-1031",
            "fax_number": "570-826-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E NORTHAMPTON ST",
            "city": "WILKES BARRE",
            "state": "PA",
            "postal_code": "187013035",
            "telephone_number": "570-826-1031",
            "fax_number": "570-826-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-30",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "DURAKO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "570-826-1031",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "PA",
            "license": "600602",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007475510001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyla Hennigan, CNM, WHNP-BC
• Colleen Henry, MS-CCC-SLP
• Jaclyn A Henry
• Olicia Onika Henry, MD
• Amy Elizabeth Hepler, PA-C
• Lizmeidy Hernandez, PA-C
• Taylor Ranee Herron
• Katrina Lynn Hetro, CRNP
• Donna Hewitt, LCSW
• Kevin Immarri Hickman, CRNA

• Skilled Nursing Facility in Wilkes Barre, PA
• Providers in Wilkes Barre, PA by specialty
• Skilled Nursing Facility in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.