Organization Active NPI

Heritage Community Care

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Stoughton, MA
National Provider Identifier
1235810987
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HERITAGE COMMUNITY CARE
Practice address
39 Page Ter Apt B9
Stoughton, MA 02072-4639
Phone
(781) 535-4328
NPI assigned
Jul 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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

Authorized official

Name
Michal Kuyateh
Title
Owner
Phone
(781) 535-4328

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

39 Page Ter Apt B9
Stoughton, MA 02072-4639

Mailing address

39 Page Ter Apt B9
Stoughton, MA 02072-4639
Phone (781) 535-4328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1235810987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 PAGE TER APT B9",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724639",
            "telephone_number": "781-535-4328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 PAGE TER APT B9",
            "city": "STOUGHTON",
            "state": "MA",
            "postal_code": "020724639",
            "telephone_number": "781-535-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE COMMUNITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "KUYATEH",
        "authorized_official_first_name": "MICHAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-535-4328"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stoughton, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.