Heritage Adult Day Health Services, Inc.

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

001536 Issued in TX

Legal business name

HERITAGE ADULT DAY HEALTH SERVICES, INC.

Practice address

150 S Beach St
Suite a
Fort Worth, TX 76105-1162

Phone

(817) 534-1935

Fax

(817) 531-0282

NPI assigned

Oct 1, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Johnnie Marie Benson, B.S.-L.N.H.A.

Title

Consultant

Phone

(817) 881-2929

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191196800000",
    "number": "1194912352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50069",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761050069",
            "telephone_number": "817-534-1935",
            "fax_number": "817-531-0282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 S BEACH ST",
            "address_2": "SUITE A",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761051162",
            "telephone_number": "817-534-1935",
            "fax_number": "817-531-0282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ADULT DAY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-01",
        "last_updated": "2007-10-01",
        "status": "A",
        "authorized_official_last_name": "BENSON",
        "authorized_official_first_name": "JOHNNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "817-881-2929",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "B.S.-L.N.H.A."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "001536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Francis Herd, MD
• James P Herd, MD
• Chase Richard Herdman, MD
• Aylin Alexis Heredia
• Joyce Daniela Heredia, DC
• Heritage East Adult Daycare Center, Inc.
• Heritage Modern Dentistry, PC
• Martis Herman
• Kristina Hermanson, PHARMD
• Hermosa Holistic Counseling PLLC

• Adult Day Care Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2007; 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.