NPIMap

Organization Active NPI

Heritage Education Program

  • Developmentally Disabled Services Day Training Agency
  • Kenmore, NY
National Provider Identifier
1063775203
Registry record updated Jun 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
126541968 Issued in NY
Legal business name
HERITAGE EDUCATION PROGRAM
Practice address
1 Delaware Rd
Kenmore, NY 14217-2743
Phone
(716) 876-3902
Fax
(716) 876-3906
NPI assigned
Jun 22, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2012

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

Authorized official

Name
Ms. Cynthia Ann Cosman, M.S.ED.
Title
Special Education Teacher
Phone
(716) 876-3902

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 126541968 NY Primary

Addresses

Primary practice location

1 Delaware Rd
Kenmore, NY 14217-2743

Mailing address

3087 Eggert Rd
Tonawanda, NY 14150-7159
Phone (716) 446-0090

Other identifiers 1

IdentifierTypeStateIssuer
17MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Functional Life16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340323200000",
    "number": "1063775203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3087 EGGERT RD",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141507159",
            "telephone_number": "716-446-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DELAWARE RD",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142172743",
            "telephone_number": "716-876-3902",
            "fax_number": "716-876-3906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE EDUCATION PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2012-06-22",
        "status": "A",
        "authorized_official_last_name": "COSMAN",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SPECIAL EDUCATION TEACHER",
        "authorized_official_telephone_number": "716-876-3902",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S.ED."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NY",
            "license": "126541968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "17",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2012; 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.