Heritage Health Care, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

360900455 Issued in CA

Legal business name

HERITAGE HEALTH CARE, INC.

Practice address

25271 Barton Rd
Loma Linda, CA 92354-3013

Phone

(909) 796-0219

Fax

(909) 796-3496

NPI assigned

Aug 2, 2012

Organization subpart

No

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

Authorized official

Name

Mr. James B Kilian

Title

Chief Financial Officer

Phone

(909) 796-2595

Specialties & licenses 1

Addresses

Other names 1

• Heritage Gardens Retirement & Assisted Living Other name

Tax ID family

Heritage Gardens Health Care Center2 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.

• Heritage Health Care, Inc.

  • Skilled Nursing Facility
  • Loma Linda, CA
  • NPI 1942273933
  NPD tax ID

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1104172634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3000",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923549000",
            "telephone_number": "909-796-2595",
            "fax_number": "909-796-8797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25271 BARTON RD",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "923543013",
            "telephone_number": "909-796-0219",
            "fax_number": "909-796-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "KILIAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "909-796-2595",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "CA",
            "license": "360900455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Gardens Retirement & Assisted Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Heather Elaine Henken, M.D.
• Jeffrey Martin Henkin, DDS, MS, FICD
• Christine Natalie Renee Henry, CRNP
• Gina Henry
• Allison Hensley, M.D.
• Heritage Health Care, Inc.
• Juan Carlos Hernandez-Jaime, OTR/L
• Anthony Hernandez
• Cindy Hernandez
• Erick Hernandez, SOCIAL WORKER

• Assisted Living Facility in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.