Organization Active NPI

Heritage Community Services Inc

  • Developmental Disabilities Clinic/Center
  • Bowie, MD
National Provider Identifier
1366168072
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
HERITAGE COMMUNITY SERVICES INC
Practice address
2623 Kinderbrook LN
Bowie, MD 20715-2814
Phone
(240) 432-6734
Fax
(240) 235-4262
NPI assigned
Oct 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Authorized official

Name
Mrs. Abimbola Adekunle
Title
President
Phone
(240) 432-6734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

2623 Kinderbrook LN
Bowie, MD 20715-2814

Mailing address

2623 Kinderbrook LN
Bowie, MD 20715-2814
Phone (240) 432-6734

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1366168072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2623 KINDERBROOK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152814",
            "telephone_number": "240-432-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2623 KINDERBROOK LN",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207152814",
            "telephone_number": "240-432-6734",
            "fax_number": "240-235-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE COMMUNITY SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "ADEKUNLE",
        "authorized_official_first_name": "ABIMBOLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "240-432-6734",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.