NPIMap

Organization Active NPI

Heritage Child and Adult Care Center

  • Non-emergency Medical Transport (VAN)
  • Mansfield, TX
National Provider Identifier
1508465089
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-emergency Medical Transport (VAN)Taxonomy code 343900000X
Legal business name
HERITAGE CHILD AND ADULT CARE CENTER
Practice address
1600 Monte Carlo Dr
Mansfield, TX 76063-6291
Phone
(817) 987-8331
Fax
(682) 318-1811
NPI assigned
Oct 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Adeyinka AdekanolaNPI 1679170567
Title
Chief Operating Officer
Phone
(817) 987-8331

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-emergency Medical Transport (VAN) 343900000X Primary

Addresses

Primary practice location

1600 Monte Carlo Dr
Mansfield, TX 76063-6291

Mailing address

1600 Monte Carlo Dr
Mansfield, TX 76063-6291

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1603670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1508465089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MONTE CARLO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636291",
            "fax_number": "682-318-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MONTE CARLO DR",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760636291",
            "telephone_number": "817-987-8331",
            "fax_number": "682-318-1811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHILD AND ADULT CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-26",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-25",
        "status": "A",
        "authorized_official_last_name": "ADEKANOLA",
        "authorized_official_first_name": "ADEYINKA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-987-8331"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.