Organization Active NPI

Heritage Case Management

  • Case Management Agency
  • Concord, NH
National Provider Identifier
1073719704
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
03221 Issued in NH
Legal business name
HERITAGE CASE MANAGEMENT
Practice address
4 Chenell Dr
Suite 101
Concord, NH 03301-8501
Phone
(603) 228-2400
Fax
(603) 228-9210
NPI assigned
Jun 21, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Carolyn A Virtue
Title
Administrator
Phone
(603) 228-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 03221 NH Primary

Addresses

Primary practice location

4 Chenell Dr
Suite 101
Concord, NH 03301-8501

Mailing address

4 Chenell Dr
Suite 101
Concord, NH 03301-8501
Phone (603) 228-2400

Other identifiers 1

IdentifierTypeStateIssuer
30591104MedicaidNH

National Provider Directory

National Provider Directory

Locations

4 Chenell Dr
Ste 101
Concord, NH 03301
Phone (603) 228-2400

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073719704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CHENELL DR",
            "address_2": "SUITE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018501",
            "telephone_number": "603-228-2400",
            "fax_number": "603-228-9210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CHENELL DR",
            "address_2": "SUITE 101",
            "city": "CONCORD",
            "state": "NH",
            "postal_code": "033018501",
            "telephone_number": "603-228-2400",
            "fax_number": "603-228-9210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VIRTUE",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "603-228-2400",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NH",
            "license": "03221",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30591104",
            "state": "NH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.