Ism-Heritage House Alf, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ISM-HERITAGE HOUSE ALF, LLC

Practice address

1810 S Belcher Rd
Clearwater, FL 33764-6602

Phone

(727) 531-2236

NPI assigned

Nov 26, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Pilar Carvajal

Title

Ceo

Phone

(800) 425-9914

Specialties & licenses 1

Addresses

Other names 1

• Heritage House Doing business as

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

{
    "created_epoch": "1511654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511654400000",
    "number": "1689188963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1688 MERIDIAN AVE STE 700",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331392713",
            "telephone_number": "800-425-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 S BELCHER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337646602",
            "telephone_number": "727-531-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISM-HERITAGE HOUSE ALF, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-26",
        "last_updated": "2017-11-26",
        "status": "A",
        "authorized_official_last_name": "CARVAJAL",
        "authorized_official_first_name": "PILAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-425-9914",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage House",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John F Ionata, D.M.D.
• Eliany Danette Irizarry Figueroa, M.S. CCC-SLP
• Jamie Irvine, BCABA
• Kimberly Kay Irvine, ARNP
• Kalie Irwin, MS, CF/SLP
• Candice D'Nay Isom
• Natalya Ivanova
• Courtney Iverson, PA-C
• Martin P. Iwanowski, DO
• Kenneth Iyamu, M.D

• Assisted Living Facility in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2017; 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.