Heritage Healthcare

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

SLP006951 Issued in GA

Legal business name

HERITAGE HEALTHCARE

Practice address

3829 Floyd Rd
Austell, GA 30106-8534

Phone

(770) 573-2592

NPI assigned

Jul 19, 2010

Organization subpart

No

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

Authorized official

Name

Shondre Clemons

Title

Speech Pathologist

Phone

(334) 322-5793

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brenda S Knight, OTR/L,CHT

  • Occupational Therapist
  • Sarasota, FL
  • NPI 1417045840
  NPD (past)

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1528371663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1539 ANNA RUBY LN NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301528205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3829 FLOYD RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301068534",
            "telephone_number": "770-573-2592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-19",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "SHONDRE",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "334-322-5793"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "GA",
            "license": "SLP006951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Hendricks
• Justin Henry, PMHNP-BC
• Logan Herbert
• Jonathon Brent Herbst, MD
• Here 4 You Homecare Agency LLC
• Douglas A. Hernandez, PA
• Aviana Herrera
• Amber H Herring, PA-C
• Lois J Hersey, CNM
• Louis Jack Herskowitz, M.D.

• Physical Disabilities Residential Treatment Facility in Austell, GA
• Providers in Austell, GA by specialty
• Physical Disabilities Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; 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.