Organization Active NPI

Heritage Christian Services Inc

  • Case Management Agency
  • Rochester, NY
National Provider Identifier
1053898783
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HERITAGE CHRISTIAN SERVICES INC
Practice address
275 Kenneth Dr Ste 100
Rochester, NY 14623-4277
Phone
(585) 340-2000
Fax
(585) 340-2006
NPI assigned
Jul 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Authorized official

Name
Michelle Labossiere-Hall
Title
Assoc VP
Phone
(585) 340-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

275 Kenneth Dr Ste 100
Rochester, NY 14623-4277

Mailing address

275 Kenneth Dr Ste 100
Rochester, NY 14623-4277
Phone (585) 340-2000

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2208519Heritage Christian Services Inc275 Kenneth Drive Suite 100, Rochester, NY 14623Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Heritage Christian Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

275 Kenneth Dr
#100
Rochester, NY 14623
Phone (585) 340-2000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532476800000",
    "number": "1053898783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 KENNETH DR STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234277",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 KENNETH DR STE 100",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234277",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHRISTIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-25",
        "last_updated": "2018-07-25",
        "status": "A",
        "authorized_official_last_name": "LABOSSIERE-HALL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "ASSOC VP",
        "authorized_official_telephone_number": "585-340-2000"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.