Heritage House Human Services Inc

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

HERITAGE HOUSE HUMAN SERVICES INC

Practice address

3557 N Sharon Amity Rd
Suite # 100-103
Charlotte, NC 28205-8849

Phone

(917) 501-8029

NPI assigned

Mar 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. William E. Ellis I, BS COMM HEALTH

Title

Executive Director

Phone

(917) 501-8029

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253750400000",
    "number": "1487824843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3557 N SHARON AMITY RD STE 100-103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058849",
            "telephone_number": "917-501-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3557 N SHARON AMITY RD",
            "address_2": "SUITE # 100-103",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282058849",
            "telephone_number": "917-501-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE HUMAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2009-09-24",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "917-501-8029",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "BS COMM HEALTH"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Hereim
• Teal M Herendeen, OMT
• Heritage Home Care of Charlotte
• Heritage Home Care of Greensboro Inc.
• Heritage Homecare of Gastonia
• Heritage Regenerative Medicine Inc.
• Timothy Gordon Herlihy, OT/L
• Amanda Herlocker, M.S., R.D.N., L.D.N.
• Kalie Anne Herman, MS, RD
• Samantha Herman

• Developmentally Disabled Services Day Training Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Developmentally Disabled Services Day Training Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; 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.