Active NPI
Heritage Hills Home, Inc.
- Alzheimer Center (Dementia Center)
- Martinez, CA
National Provider Identifier
1427239060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 07560049
- Legal business name
- HERITAGE HILLS HOME, INC.
- Practice address
- 2041 Mono Dr
Martinez, CA 94553-4917 - Phone
- (925) 723-0144
- NPI assigned
- Nov 26, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Luis Antasuda Hangad, ADMINISTRATOR CERT.
- Title
- President
- Phone
- (925) 944-0454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Alzheimer Center (Dementia Center) | 311500000X | 07560049 | CA | Primary |
Addresses
Primary practice location
2041 Mono Dr
Martinez, CA 94553-4917
Mailing address
2323 Heritage Hills Dr
Pleasant Hill, CA 94523-3173
Phone (925) 944-0454
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196035200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196035200000",
"number": "1427239060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 HERITAGE HILLS DR",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945233173",
"telephone_number": "925-944-0454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 MONO DR",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945534917",
"telephone_number": "925-723-0144"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HILLS HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A",
"authorized_official_last_name": "HANGAD",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "ANTASUDA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-944-0454",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ADMINISTRATOR CERT."
},
"taxonomies": [
{
"code": "311500000X",
"taxonomy_group": "",
"desc": "Alzheimer Center (Dementia Center)",
"state": "CA",
"license": "07560049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.