Heritage Support Services Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

HERITAGE SUPPORT SERVICES INC.

Practice address

12 S Market St Ste 301
Frederick, MD 21701-5581

Phone

(443) 657-3980

NPI assigned

Dec 8, 2023

Organization subpart

No

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

Authorized official

Name

Omowumi Adebayo

Title

Ceo

Phone

(443) 657-3980

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1598532632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 S MARKET ST STE 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015581",
            "telephone_number": "443-657-3980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 S MARKET ST STE 301",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015581",
            "telephone_number": "443-657-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SUPPORT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "OMOWUMI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-657-3980"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott M Henry, DPM
• Sydney Alexandra Henry
• Rachel Hensberger
• Richard Roger Hensley Jr.
• Francesca Isabelle Herder
• Rebecca A Herman-Smith, D.O.
• Meagan L. Herman, LCPC
• Sadie Rose Herman
• Carla Hernandez, LCSW-C
• Carmen Rosa Hernandez, M.D.

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Frederick, MD
• Providers in Frederick, MD by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2023; 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.