Heritage Senior Care LLC

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Legal business name

HERITAGE SENIOR CARE LLC

Practice address

1102 S Lebanon St
Lebanon, IN 46052-2717

Phone

(765) 482-6680

Fax

(765) 482-6680

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Shari Lynne Pryor, MANAGER

Title

Manager

Phone

(765) 482-6680

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1023728243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 PARAGON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594050",
            "telephone_number": "937-291-3780",
            "fax_number": "937-291-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522717",
            "telephone_number": "765-482-6680",
            "fax_number": "765-482-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-482-6680",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Helderman, OD
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• Thomas W Heniff, M.D.
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• Raegan N Hiatt, RBT
• Hickory Creek Healthcare Foundation, Inc.
• Graziele Highland
• Harold James Hileman, MD
• Ashley Hinson, RBT

• Personal Care Attendant in Lebanon, IN
• Providers in Lebanon, IN by specialty
• Personal Care Attendant in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.