Heritage Ridge Operating LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE RIDGE OPERATING LLC

Doing business as

Heritage Ridge Retirement Community

Practice address

1502 Fort Crook Rd S
Bellevue, NE 68005-2972

Phone

(402) 932-1881

Fax

(402) 916-5500

NPI assigned

Feb 13, 2012

Organization subpart

Yes

Parent organization

HERITAGE MANAGEMENT SERVICES, INC.As reported in NPPES

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

Authorized official

Name

Stacy Randels

Title

Executive Director

Phone

(402) 932-1881

Specialties & licenses 1

Addresses

Other names 1

• Heritage Ridge Retirement Community Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329091200000",
    "number": "1275806838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 FORT CROOK RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052972",
            "telephone_number": "402-932-1881",
            "fax_number": "402-916-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 FORT CROOK RD S",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "680052972",
            "telephone_number": "402-932-1881",
            "fax_number": "402-916-5500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE RIDGE OPERATING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE MANAGEMENT SERVICES, INC.",
        "enumeration_date": "2012-02-13",
        "last_updated": "2012-02-13",
        "status": "A",
        "authorized_official_last_name": "RANDELS",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "402-932-1881"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Ridge Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ricky Dean Hensley
• Rylee Ann Henson
• John R Herbolsheimer, O.D.
• Shelley Marie Herbst, PT
• Melissa Kay Heredia
• Laronica Herlm
• Alyssa Herman
• Sarah Hermann
• Ana Aurora Hernandez- Rodriguez
• Kimberly Hernandez

• Assisted Living Facility in Bellevue, NE
• Providers in Bellevue, NE by specialty
• Assisted Living Facility in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.