MF Heritage LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

MF HERITAGE LLC

Practice address

37135 Coleman Ave
Dade City, FL 33525-4526

Phone

(352) 567-8615

NPI assigned

Jun 6, 2008

Organization subpart

Yes

Parent organization

FLORIDA FACILITIES LLCAs reported in NPPES

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

Authorized official

Name

James Richardson

Title

President

Phone

(850) 430-0000

Specialties & licenses 1

Addresses

Other names 1

• Heritage Park Health & Rehabilitation Center Doing business as

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

{
    "created_epoch": "1212710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1659530491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 SOUTH PALAFOX PLACE",
            "address_2": "SUITE 400",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325025697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37135 COLEMAN AVE",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335254526",
            "telephone_number": "352-567-8615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MF HERITAGE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FLORIDA FACILITIES LLC",
        "enumeration_date": "2008-06-06",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-430-0000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Park Health & Rehabilitation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Dade City, FL
• Providers in Dade City, FL by specialty
• Skilled Nursing Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.