NPIMap

Organization Active NPI

Heritage Foundation Inc.

  • Substance Abuse Rehabilitation Facility
  • Thomasville, GA
National Provider Identifier
1215056734
Registry record updated May 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
136-523-D Issued in GA
Legal business name
HERITAGE FOUNDATION INC.
Practice address
2025 E Pinetree Blvd
Thomasville, GA 31792-5302
Phone
(229) 228-5545
Fax
(229) 226-4755
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2009

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

Authorized official

Name
Dr. Gloria Jones, PHD
Title
Executive Director
Phone
(229) 228-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 136-523-D GA Primary

Addresses

Primary practice location

2025 E Pinetree Blvd
Thomasville, GA 31792-5302

Mailing address

PO Box 2966
Thomasville, GA 31799-2966
Phone (229) 228-5545

Other identifiers 1

IdentifierTypeStateIssuer
000974322AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Heritage Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242950400000",
    "number": "1215056734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2966",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317992966",
            "telephone_number": "229-228-5545",
            "fax_number": "229-226-4755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317925302",
            "telephone_number": "229-228-5545",
            "fax_number": "229-226-4755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-05-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-228-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "136-523-D",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000974322A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; 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.