Heritage 10, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE 10, LLC

Practice address

111 Owen Rd
Monona, WI 53716-3585

Phone

(952) 351-4552

NPI assigned

Apr 30, 2020

Organization subpart

No

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

Authorized official

Name

Milo Pinkerton

Title

Owner

Phone

(952) 351-4552

Specialties & licenses 1

Addresses

Other names 2

• Bascom Hall Doing business as
• Capitol Square Doing business as

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588204800000",
    "number": "1285255208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 NORTHLAND DR STE 270",
            "city": "MENDOTA HEIGHTS",
            "state": "MN",
            "postal_code": "551201373",
            "telephone_number": "952-351-4552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 OWEN RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163585",
            "telephone_number": "952-351-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE 10, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A",
        "authorized_official_last_name": "PINKERTON",
        "authorized_official_first_name": "MILO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-351-4552"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bascom Hall",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Capitol Square",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Christine P Hill, RNRCS
• Rebecca Hiller

• Assisted Living Facility in Monona, WI
• Providers in Monona, WI by specialty
• Assisted Living Facility in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.