Heritage Oaks Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE OAKS ASSISTED LIVING LLC

Practice address

6569 E Carondelet Dr
Tucson, AZ 85710-2156

Phone

(520) 999-0797

NPI assigned

Aug 24, 2020

Last updated

Aug 24, 2020By 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

Ryan Reilly

Title

Director of Operations

Phone

(520) 907-1163

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598227200000",
    "number": "1669085387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6569 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6569 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102156",
            "telephone_number": "520-999-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OAKS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-24",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A",
        "authorized_official_last_name": "REILLY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "520-907-1163"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Heredia
• Dustin Michael Heringer, MD
• Heritage Behavioral Health Foundation
• Heritage Behavioral Health Services, LLC
• Heritage Home Health Care of Arizona, Inc.
• Kara K Herko, PHARMD
• Kara Herlihy, PHARMD
• Gwenn Hope Herman, LCSW-C, DCSW
• Michelle Jaye Herman, MD
• Angelynn Marie Hermes, LCSW

• Assisted Living Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.