NPIMap

Organization Active NPI

Heritage Group Homes, Inc.

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • West Covina, CA
National Provider Identifier
1306398185
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X
License
197801967 Issued in CA
Legal business name
HERITAGE GROUP HOMES, INC.
Practice address
1923 E Eckerman Ave
West Covina, CA 91791-1113
Phone
(626) 332-4600
Fax
(909) 599-8223
NPI assigned
Oct 27, 2016
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Sandi Heyer
Title
Executive Director
Phone
(626) 653-1000

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

National Provider Directory

National Provider Directory
Tax ID family
Heritage Group Homes Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X 197801967 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

1923 E Eckerman Ave
West Covina, CA 91791-1113

Mailing address

PO Box 8400
La Verne, CA 91750-8400
Phone (909) 599-8222

Other names 1

NPPES NPI Registry
  • Heritage Youth Services 3 Other name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 12, 2023.

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1306398185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8400",
            "city": "LA VERNE",
            "state": "CA",
            "postal_code": "917508400",
            "telephone_number": "909-599-8222",
            "fax_number": "909-599-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1923 E ECKERMAN AVE",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917911113",
            "telephone_number": "626-332-4600",
            "fax_number": "909-599-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE GROUP HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "HEYER",
        "authorized_official_first_name": "SANDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "626-653-1000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "CA",
            "license": "197801967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Youth Services 3",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.