Organization Active NPI

Heritage High Assisted Living Center

  • Assisted Living Facility
  • Madison, SD
National Provider Identifier
1679794002
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
45936 Issued in SD
Legal business name
HERITAGE HIGH ASSISTED LIVING CENTER
Practice address
211 NW 1St St
Madison, SD 57042-2884
Phone
(605) 256-1525
Fax
(605) 256-1535
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ron Howe
Title
President
Phone
(605) 256-1525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 45936 SD Primary

Addresses

Primary practice location

211 NW 1St St
Madison, SD 57042-2884

Mailing address

211 NW 1St St
Madison, SD 57042-2884
Phone (605) 256-1525

Other identifiers 1

IdentifierTypeStateIssuer
9570340MedicaidSD

Other names 1

  • Heritage Senior Living Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679794002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NW 1ST ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570422884",
            "telephone_number": "605-256-1525",
            "fax_number": "605-256-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 NW 1ST ST",
            "city": "MADISON",
            "state": "SD",
            "postal_code": "570422884",
            "telephone_number": "605-256-1525",
            "fax_number": "605-256-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HIGH ASSISTED LIVING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOWE",
        "authorized_official_first_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-256-1525"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "SD",
            "license": "45936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9570340",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Senior Living",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Madison, SD

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.

Verify at the official NPI Registry.