Heritage 11, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE 11, LLC

Practice address

6234 Maywood Ave
Middleton, WI 53562-2205

Phone

(952) 351-4552

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Milo Pinkerton

Title

Owner

Phone

(952) 351-4552

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1114548138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 NORTHLAND DR STE 270",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201373",
            "telephone_number": "952-351-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 MAYWOOD AVE",
            "city": "MIDDLETON",
            "state": "WI",
            "postal_code": "535622205",
            "telephone_number": "952-351-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE 11, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "MILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-351-4552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Hellenbrand, COTA
• Ann Lynette Hellickson, COTA
• Penelope Hendrickson, RN
• Erin Heredia, DNP, FNP-C
• Megan A Hering, CCC-SLP
• Emily Herzog, APNP
• Andrea H. Hewitt, NP
• Sarah Elizabeth Hewitt, FNP
• Mary Kathryn Hill, APNP
• Natasha Thya Hill, PTA

• Assisted Living Facility in Middleton, WI
• Providers in Middleton, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.