NPIMap

Organization Active NPI

Heritage House of Richmond

  • Skilled Nursing Facility
  • Richmond, IN
National Provider Identifier
1467590562
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
06-000133-1 Issued in IN
Legal business name
HERITAGE HOUSE OF RICHMOND
Practice address
2070 Chester Blvd
Richmond, IN 47374-1215
Phone
(765) 962-3543
Fax
(765) 935-5060
NPI assigned
Feb 1, 2007
Last updated
Apr 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Authorized official

Name
Mrs. Pamela Deprez
Title
Corporate Officer
Phone
(765) 529-2961

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 06-000133-1 IN Primary

Addresses

Primary practice location

2070 Chester Blvd
Richmond, IN 47374-1215

Mailing address

2070 Chester Blvd
Richmond, IN 47374-1215
Phone (765) 962-3543

Other identifiers 1

IdentifierTypeStateIssuer
100266080MedicaidIN

National Provider Directory

National Provider Directory

Locations

2070 Chester Blvd
Richmond, IN 47374
Phone (765) 962-3543

Practitioners & affiliated clinicians

Practitioners 63

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209081600000",
    "number": "1467590562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741215",
            "telephone_number": "765-962-3543",
            "fax_number": "765-935-5060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 CHESTER BLVD",
            "city": "RICHMOND",
            "state": "IN",
            "postal_code": "473741215",
            "telephone_number": "765-962-3543",
            "fax_number": "765-935-5060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE OF RICHMOND",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2008-04-25",
        "status": "A",
        "authorized_official_last_name": "DEPREZ",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "CORPORATE OFFICER",
        "authorized_official_telephone_number": "765-529-2961",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": "06-000133-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100266080",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.