Organization Active NPI

Heritage Support Solutions LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Saco, ME
National Provider Identifier
1659181816
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HERITAGE SUPPORT SOLUTIONS LLC
Doing business as
Heritage Support Solution LLc
Practice address
4 Apple Tree LN
Saco, ME 04072-8830
Phone
(207) 313-9484
NPI assigned
Jan 9, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Authorized official

Name
Mediatrice Kantarama
Title
Ceo
Phone
(207) 313-9484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X Primary

Addresses

Primary practice location

4 Apple Tree LN
Saco, ME 04072-8830

Mailing address

4 Apple Tree LN
Saco, ME 04072-8830
Phone (207) 313-9484

Other names 1

  • Heritage Support Solution LLc Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1736380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736726400000",
    "number": "1659181816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 APPLE TREE LN",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040728830",
            "telephone_number": "207-313-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 APPLE TREE LN",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040728830",
            "telephone_number": "207-313-9484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SUPPORT SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-09",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A",
        "authorized_official_last_name": "KANTARAMA",
        "authorized_official_first_name": "MEDIATRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "207-313-9484"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Support Solution LLc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saco, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.