Organization Active NPI

Heritage House Retirement Home

  • Assisted Living Facility
  • Clearwater, FL
National Provider Identifier
1023411246
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
05401 Issued in FL
Legal business name
HERITAGE HOUSE RETIREMENT HOME
Practice address
1810 S Belcher Rd
Clearwater, FL 33764-6602
Phone
(727) 531-2236
Fax
(727) 539-0253
NPI assigned
Oct 1, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Mr. John J Peters
Title
Owner
Phone
(727) 531-2236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 05401 FL Primary

Addresses

Primary practice location

1810 S Belcher Rd
Clearwater, FL 33764-6602

Mailing address

1810 S Belcher Rd
Clearwater, FL 33764-6602
Phone (727) 531-2236

National Provider Directory

National Provider Directory

Locations

1810 S Belcher Rd
Clearwater, FL 33764
Phone (727) 531-2236

NPI Registry JSON

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

{
    "created_epoch": "1412121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1023411246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646602",
            "telephone_number": "727-531-2236",
            "fax_number": "727-539-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646602",
            "telephone_number": "727-531-2236",
            "fax_number": "727-539-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE RETIREMENT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-01",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-531-2236",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "05401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.