Heritage Stabilization LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HERITAGE STABILIZATION LLC

Practice address

13837 Echo Park LN
Burnsville, MN 55337-4750

Phone

(612) 806-3714

NPI assigned

Mar 2, 2023

Organization subpart

No

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

Authorized official

Name

Khalid Mohamed

Title

Owner

Phone

(612) 806-3714

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1437858172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13837 ECHO PARK LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13837 ECHO PARK LN",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553374750",
            "telephone_number": "612-806-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE STABILIZATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "MOHAMED",
        "authorized_official_first_name": "KHALID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-806-3714"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heo Housing Legacy LLC
• Doua Her, MD
• Kaytlyn Rose Herbst
• Andrew Herdman, ATC
• Heritage Interpreting Services LLC
• Valencia M Hernandez-Winfield
• Alison Spano Hernandez, MSW, LICSW
• Jorge J Hernandez, DC
• Whitney Paitra Hernlem, RD, LD
• Abdifatah Abdull Hersi

• Clinic/Center in Burnsville, MN
• Providers in Burnsville, MN by specialty
• Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2023; 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.