Organization Active NPI

Heritage Family Care LLC

  • Family Medicine Physician
  • New London, CT
National Provider Identifier
1316124043
Registry record updated Apr 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HERITAGE FAMILY CARE LLC
Practice address
470 Bank St
New London, CT 06320-5548
Phone
(860) 444-9010
Fax
(860) 444-9020
NPI assigned
Jan 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2008

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

Authorized official

Name
Brenda Louise Applegate, M.D.
Title
Member
Phone
(860) 444-9010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X CT Primary

Addresses

Primary practice location

470 Bank St
New London, CT 06320-5548

Mailing address

470 Bank St
New London, CT 06320-5548
Phone (860) 444-9010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207699200000",
    "number": "1316124043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205548",
            "telephone_number": "860-444-9010",
            "fax_number": "860-444-9020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 BANK ST",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063205548",
            "telephone_number": "860-444-9010",
            "fax_number": "860-444-9020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FAMILY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-04-09",
        "status": "A",
        "authorized_official_last_name": "APPLEGATE",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-444-9010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New London, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; 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.