Heritage Place Business LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

HERITAGE PLACE BUSINESS LLC

Practice address

1372 Eufola Rd
Statesville, NC 28677-2401

Phone

(704) 528-4568

NPI assigned

Mar 8, 2022

Organization subpart

No

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

Authorized official

Name

Angela Eckard, ADMINISTRATOR

Title

Regional

Phone

(910) 515-6786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1646697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646697600000",
    "number": "1639826746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 NE 12TH ST",
            "city": "OAK ISLAND",
            "state": "NC",
            "postal_code": "284656405",
            "telephone_number": "910-515-6786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 EUFOLA RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286772401",
            "telephone_number": "704-528-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PLACE BUSINESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-08",
        "last_updated": "2022-03-08",
        "certification_date": "2022-03-08",
        "status": "A",
        "authorized_official_last_name": "ECKARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "REGIONAL",
        "authorized_official_telephone_number": "910-515-6786",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Helping Is Simply Caring
• Martha Kaye Lloyd Henderson
• Justin Gray Hendren
• David Hensley, CRNA
• Karen Hensley, CRNA
• Heather Lee Herrig, LCMHCS, LCAS
• Thomas Duke Hesson, RPH
• Dana Rice Hicks, LCMHC
• Harlan M Hicks, M.D.
• Jessica Tilley Hicks, FNP

• Alzheimer Center (Dementia Center) in Statesville, NC
• Providers in Statesville, NC by specialty
• Alzheimer Center (Dementia Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; 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.