Heritage House of Clinton, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE HOUSE OF CLINTON, INC.

Practice address

375 S 11TH St
Clinton, IN 47842-1053

Phone

(765) 832-2491

Fax

(765) 832-2685

NPI assigned

Oct 12, 2005

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Phillip Brown

Title

President

Phone

(317) 398-6809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174511224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 S 11TH ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478421053",
            "telephone_number": "765-832-2491",
            "fax_number": "765-832-2685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 S 11TH ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478421053",
            "telephone_number": "765-832-2491",
            "fax_number": "765-832-2685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE OF CLINTON, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-398-6809",
        "authorized_official_name_prefix": "Mr."
    },
    "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 Clinton, IN
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• 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.