Active NPI
Heritage House of Virginia, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Stafford, VA
National Provider Identifier
1669557989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- License
- 496
- Legal business name
- HERITAGE HOUSE OF VIRGINIA, INC.
- Practice address
- 1075 Garrisonville Rd
Suite 109
Stafford, VA 22556-8600 - Phone
- (540) 288-1699
- Fax
- (540) 657-9399
- NPI assigned
- Oct 26, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jason Westberry Sapp
- Title
- President/Director
- Phone
- (540) 288-1699
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | 496 | VA | Primary |
Addresses
Primary practice location
1075 Garrisonville Rd
Suite 109
Stafford, VA 22556-8600
Mailing address
PO Box 779
Garrisonville, VA 22463-0779
Phone (540) 288-1699
National Provider Directory
National Provider DirectoryLocations
1075 Garrisonville Rd
Ste 109
Stafford, VA 22556
Phone (540) 288-1699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669557989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 779",
"city": "GARRISONVILLE",
"state": "VA",
"postal_code": "224630779",
"telephone_number": "540-288-1699",
"fax_number": "540-657-9399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1075 GARRISONVILLE RD",
"address_2": "SUITE 109",
"city": "STAFFORD",
"state": "VA",
"postal_code": "225568600",
"telephone_number": "540-288-1699",
"fax_number": "540-657-9399"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOUSE OF VIRGINIA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-26",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAPP",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "WESTBERRY",
"authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
"authorized_official_telephone_number": "540-288-1699",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "VA",
"license": "496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stafford, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.