Heritage House Convalescent Center

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE HOUSE CONVALESCENT CENTER

Practice address

2309 S Miller St
Shelbyville, IN 46176-8783

Phone

(317) 398-9781

Fax

(317) 398-6840

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Pamela Deprez

Title

Corporate Officer

Phone

(765) 529-2961

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1144367939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 S MILLER ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768783",
            "telephone_number": "317-398-9781",
            "fax_number": "317-398-6840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 S MILLER ST",
            "city": "SHELBYVILLE",
            "state": "IN",
            "postal_code": "461768783",
            "telephone_number": "317-398-9781",
            "fax_number": "317-398-6840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE CONVALESCENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "DEPREZ",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "765-529-2961",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Skilled Nursing Facility in Shelbyville, IN
• Providers in Shelbyville, IN by specialty
• Skilled Nursing Facility in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.