Organization Active NPI

Heritage Haven Home

  • Home Health Agency
  • Portage, MI
National Provider Identifier
1477406536
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HAVEN HOME
Practice address
6031 Avon St
Portage, MI 49024-2627
Phone
(269) 532-4520
Fax
(206) 657-5255
NPI assigned
Feb 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Authorized official

Name
Mr. Bolaji S Inuolaji
Title
Administrator
Phone
(269) 532-4520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6031 Avon St
Portage, MI 49024-2627

Mailing address

6031 Avon St
Portage, MI 49024-2627
Phone (269) 532-4520

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1771372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771372800000",
    "number": "1477406536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6031 AVON ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242627",
            "telephone_number": "269-532-4520",
            "fax_number": "206-665-5255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6031 AVON ST",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490242627",
            "telephone_number": "269-532-4520",
            "fax_number": "206-657-5255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HAVEN HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-18",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A",
        "authorized_official_last_name": "INUOLAJI",
        "authorized_official_first_name": "BOLAJI",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "269-532-4520",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portage, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.