Heritage Living Center, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

059 Issued in AR

Legal business name

HERITAGE LIVING CENTER, INC.

Practice address

1175 Morningside Dr
Conway, AR 72034-3647

Phone

(501) 327-7642

Fax

(501) 327-2812

NPI assigned

Sep 22, 2005

Organization subpart

No

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

Authorized official

Name

Kaye Henderson

Title

President

Phone

(501) 327-7642

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196985600000",
    "number": "1053307363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 MORNINGSIDE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343647",
            "telephone_number": "501-327-7642",
            "fax_number": "501-327-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 MORNINGSIDE DR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343647",
            "telephone_number": "501-327-7642",
            "fax_number": "501-327-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE LIVING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-22",
        "last_updated": "2007-12-07",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "KAYE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-327-7642"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AR",
            "license": "059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Virginia Hensley-Seamon
• James Hensley
• Mary Katherine Henson
• Roseanne Henson, RECOVERY ASSISTANT
• Kirsten Hepp
• Gabrielle Ashtyn Hern
• Lyndsey Herring, OT
• Carrie Herrmann, PT
• Holly Ann Herzfeld-Van Dyke, RD,MS,LD,CDE
• Kaycee Hess, APRN

• Skilled Nursing Facility in Conway, AR
• Providers in Conway, AR by specialty
• Skilled Nursing Facility in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.