Heritage Assisted Living, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE ASSISTED LIVING, LLC

Practice address

5020 S 107TH St
Greenfield, WI 53228-3267

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

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": "1356962369",
    "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",
            "fax_number": "952-935-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5020 S 107TH ST",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532283267",
            "telephone_number": "952-351-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ASSISTED LIVING, 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": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Heitschmidt
• Laney Marie Hemer, DPT
• Christopher Henderson, RRT
• Shanna S Hensberger, COTA
• Kelly J Herbst-Frailing, MPT
• Melissa Maria Hernandez, RN
• Jennifer Hibbard, SLP
• Jennifer Hilgendorf
• Samantha Hilt
• Rachel Hintz, APNP

• Skilled Nursing Facility in Greenfield, WI
• Providers in Greenfield, WI by specialty
• Skilled Nursing 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.