Heritage Oaks LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE OAKS LLC

Doing business as

Magnolia Gardens

Practice address

916 S Marietta St
Gastonia, NC 28054-5405

Phone

(980) 505-4427

NPI assigned

Jan 5, 2022

Last updated

Jan 5, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Dan Rhyne Carter II

Title

Member/Owner

Phone

(980) 505-4427

Specialties & licenses 1

Addresses

Other names 1

• Magnolia Gardens Doing business as

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1659032209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 HAVEN CIR APT G6",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124831",
            "telephone_number": "980-505-4427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 S MARIETTA ST",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280545405",
            "telephone_number": "980-505-4427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OAKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "DAN",
        "authorized_official_middle_name": "RHYNE",
        "authorized_official_title_or_position": "MEMBER/OWNER",
        "authorized_official_telephone_number": "980-505-4427",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Magnolia Gardens",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Henning and Associates Inc.
• Katie Henry
• Thomas Michael Henry, PHARMD, BCPS
• Timothy Dale Henson Jr., BCBA
• Amanda Herbin
• Dulce Hernandez Jimenez
• Doris Hernandez
• Nijee Herndon
• Heather Michelle Herrera, CRNA
• Richard S Herring, MD

• Assisted Living Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.