Heritage Adult Day Care Services, Inc.

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

C1S0313 Issued in VA

Legal business name

HERITAGE ADULT DAY CARE SERVICES, INC.

Practice address

9550 Midlothian Tpke
Suite 106
Richmond, VA 23235-4900

Phone

(804) 330-3600

Fax

(804) 330-3601

NPI assigned

May 6, 2009

Organization subpart

No

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

Authorized official

Name

Elagib Elbashir

Title

President

Phone

(804) 330-3600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1241568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241740800000",
    "number": "1407080484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28723",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232288723",
            "telephone_number": "804-330-3600",
            "fax_number": "804-330-3601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9550 MIDLOTHIAN TPKE",
            "address_2": "SUITE 106",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232354900",
            "telephone_number": "804-330-3600",
            "fax_number": "804-330-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ADULT DAY CARE SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-06",
        "last_updated": "2009-05-08",
        "status": "A",
        "authorized_official_last_name": "ELBASHIR",
        "authorized_official_first_name": "ELAGIB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "804-330-3600"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "VA",
            "license": "C1S0313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Nathalie Heppner, MD
• Ashley Herbert, PA-C
• Jennifer Lynn Cecilione Herbst, PHD, LCP
• Matthew David Herczyk, MD
• Maggie E Heretick, DPT
• Heritage Living Inc
• Heritage Living Inc.
• Andrew Joseph Herman, M.D.
• Kiana Herman, RD
• Lea Herman

• Mental Health Clinic/Center (Including Community Mental Health Center) in Richmond, VA
• Providers in Richmond, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2009; 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.