Heritage Assisted Living Home LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

100927 Issued in AK

Legal business name

HERITAGE ASSISTED LIVING HOME LLC

Practice address

6754 Obrien St
Anchorage, AK 99507-2184

Phone

(907) 868-1887

NPI assigned

Aug 20, 2016

Organization subpart

No

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

Authorized official

Name

Molly Bates

Title

Owner

Phone

(907) 868-1887

Specialties & licenses 1

Addresses

Tax ID family

Heritage Assisted Living Home LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Heritage Assisted Living Home,LLC

  • Assisted Living Facility
  • Anchorage, AK
  • NPI 1073852638
  NPD tax ID

Locations

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

{
    "created_epoch": "1471651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471651200000",
    "number": "1336694223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231253",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231253",
            "telephone_number": "907-868-1887",
            "fax_number": "907-868-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6754 OBRIEN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072184",
            "telephone_number": "907-868-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ASSISTED LIVING HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-20",
        "last_updated": "2016-08-20",
        "status": "A",
        "authorized_official_last_name": "BATES",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-868-1887"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AK",
            "license": "100927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jermaine Herbert Clark
• Julia Herbert, M.D.
• Michelle Lynne Herbst
• Catherine Herd, PHARMD
• Heritage Assisted Living Home 2
• Heritage Assisted Living Home,LLC
• Heritage Home
• Alyson K Herman, LPC-S
• Jean Daisy Herman
• Jhomar Hermano

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2016; 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.