NPIMap

Organization Active NPI

Heritage Place

  • Assisted Living Facility
  • Fayetteville, NC
National Provider Identifier
1194148072
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
HAL-026-061 Issued in NC
Legal business name
HERITAGE PLACE
Practice address
325 N Cool Spring St
Fayetteville, NC 28301-5137
Phone
(910) 323-4925
Fax
(910) 678-8673
NPI assigned
Jan 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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

Authorized official

Name
Mr. John Heath
Title
Executive Director
Phone
(910) 323-4925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X HAL-026-061 NC Primary

Addresses

Primary practice location

325 N Cool Spring St
Fayetteville, NC 28301-5137

Mailing address

325 N Cool Spring St
Fayetteville, NC 28301-5137
Phone (910) 323-4925

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1390867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390867200000",
    "number": "1194148072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 N COOL SPRING ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015137",
            "telephone_number": "910-323-4925",
            "fax_number": "910-678-8673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 N COOL SPRING ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283015137",
            "telephone_number": "910-323-4925",
            "fax_number": "910-678-8673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-28",
        "last_updated": "2014-01-28",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "910-323-4925",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-026-061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2014; 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.