Active NPI
Heritage High Assisted Living Center
- Assisted Living Facility
- Madison, SD
National Provider Identifier
1679794002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 45936
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9570340 | Medicaid | SD |
Other names 1
- Heritage Senior Living
National Provider Directory
National Provider DirectoryNPI 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.