Heritage Healthcare Holdings Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032413 Issued in MO

Legal business name

HERITAGE HEALTHCARE HOLDINGS INC

Practice address

5026 Faraon St
Saint Joseph, MO 64506-3375

Phone

(816) 279-1591

Fax

(816) 232-3775

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Lowell L Fox

Title

President

Phone

(816) 233-1212

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Abbey Woods Living & Rehab Center Doing business as

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203379200000",
    "number": "1407893779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063375",
            "telephone_number": "816-279-1591",
            "fax_number": "816-232-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063375",
            "telephone_number": "816-279-1591",
            "fax_number": "816-232-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTHCARE HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2008-02-19",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "LOWELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-233-1212",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017478006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abbey Woods Living & Rehab Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Helping Hands
• Dustin Helsel, NP-C
• Sivi N Helsel, DC
• Henry W Fricke DDS PC
• Nina Elli Henry, STUDENT
• Heritage Healthcare Holdings Inc
• Dorothy Alice Hernandez, COTA
• Salvador Hernandez
• Lauren Michele Herr, LMSW
• Gage Herrington, PLPC

• Skilled Nursing Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.