Heritage House of Seymour, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE HOUSE OF SEYMOUR, INC.

Practice address

707 S Jackson Park Dr
Seymour, IN 47274-2627

Phone

(812) 522-2416

Fax

(812) 524-1696

NPI assigned

Oct 13, 2005

Organization subpart

No

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

Authorized official

Name

Phil Brown

Title

President

Phone

(317) 398-6209

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225027154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 S JACKSON PARK DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742627",
            "telephone_number": "812-522-2416",
            "fax_number": "812-524-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 S JACKSON PARK DR",
            "city": "SEYMOUR",
            "state": "IN",
            "postal_code": "472742627",
            "telephone_number": "812-522-2416",
            "fax_number": "812-524-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE OF SEYMOUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-398-6209"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyler Joseph Henkle
• Rebecca Rose-Cilluffo Hennessy, M.D.
• Ryan Smith Hennessy, M.D.
• Meredith Henry, MSW
• Hannah Mae Henson, RN, NP-C
• Allison Hiester, RBT
• Tamara L. Hiester, DDS
• Michael Higham, CHW, CAPRC
• Teresea Lynn Higham, MA-MHC
• Cathy Robbins Hildebrand, RN, FNP

• Skilled Nursing Facility in Seymour, IN
• Providers in Seymour, IN by specialty
• Skilled Nursing Facility in Indiana

• 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.