Active NPI
Holiday Home Health Care Corp of Evansville
Doing business as Heritage Center
- Physical Therapist
- Evansville, IN
National Provider Identifier
1215195359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- HOLIDAY HOME HEALTH CARE CORP OF EVANSVILLE
- Doing business as
- Heritage Center
- Practice address
- 1201 W Buena Vista Rd
Evansville, IN 47710-3336 - Phone
- (812) 429-0700
- Fax
- (812) 429-1849
- NPI assigned
- May 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Donnie L Hester
- Title
- President
- Phone
- (812) 429-0700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
1201 W Buena Vista Rd
Evansville, IN 47710-3336
Mailing address
1201 W Buena Vista Rd
Evansville, IN 47710-3336
Phone (812) 429-0700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000097897 | Other | IN | ANTHEM |
Other names 1
- Heritage Center
National Provider Directory
National Provider Directory- Tax ID family
- Holiday Home Health Care Corporation of Evansville
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Heritage Center
- Speech-Language Pathologist
- Evansville, IN
- NPI 1669630703
-
dba Heritage Center
- Occupational Therapist
- Evansville, IN
- NPI 1396903431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211846400000",
"number": "1215195359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 W BUENA VISTA RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477103336",
"telephone_number": "812-429-0700",
"fax_number": "812-429-1849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W BUENA VISTA RD",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477103336",
"telephone_number": "812-429-0700",
"fax_number": "812-429-1849"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOLIDAY HOME HEALTH CARE CORP OF EVANSVILLE",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-27",
"last_updated": "2008-05-27",
"status": "A",
"authorized_official_last_name": "HESTER",
"authorized_official_first_name": "DONNIE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "812-429-0700",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000097897",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Heritage Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.