Organization Active NPI

Heritage Charitable Organization

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Kansas City, MO
National Provider Identifier
1649442294
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HERITAGE CHARITABLE ORGANIZATION
Practice address
12435 Wornall Rd
Kansas City, MO 64145-1119
Phone
(816) 405-1274
Fax
(816) 943-1235
NPI assigned
Mar 24, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Mrs. Deborah C Washam, RNNPI 1649331489
Title
Administrator
Phone
(816) 405-1274

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary
Physical Disabilities Residential Treatment Facility 320700000X 067295 MO

Addresses

Primary practice location

12435 Wornall Rd
Kansas City, MO 64145-1119

Mailing address

12435 Wornall Rd
Kansas City, MO 64145-1119
Phone (816) 405-1274

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1649442294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12435 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451119",
            "telephone_number": "816-405-1274",
            "fax_number": "816-943-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12435 WORNALL RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641451119",
            "telephone_number": "816-405-1274",
            "fax_number": "816-943-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHARITABLE ORGANIZATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-24",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "WASHAM",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "816-405-1274",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "MO",
            "license": "067295",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.