Heritage Home for the Elderly, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2010-AL1-96155 Issued in UT

Legal business name

HERITAGE HOME FOR THE ELDERLY, LLC

Practice address

1273 E 3075 N
Layton, UT 84040-7306

Phone

(801) 820-5589

NPI assigned

Nov 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Randilyn Jacobs

Title

Administrator

Phone

(801) 820-5589

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1245531094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1273 E 3075 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840407306",
            "telephone_number": "801-820-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1273 E 3075 N",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840407306",
            "telephone_number": "801-820-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME FOR THE ELDERLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-10",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "JACOBS",
        "authorized_official_first_name": "RANDILYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "801-820-5589",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "UT",
            "license": "2010-AL1-96155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Heninger
• Randy S Heninger, CNM
• Christy Henrie
• Stacy Henry
• Derrick M Hepworth, HIS
• Kayla Marie Heritage, SSW
• April Hernandez
• Chantal Maru Hernandez
• Yvette Lisa Hernandez
• Debora Herr

• Assisted Living Facility in Layton, UT
• Providers in Layton, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.