Heritage Manor

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Legal business name

HERITAGE MANOR

Practice address

517 Gypsy Lane
Youngstown, OH 44504

Phone

(330) 746-1076

Fax

(330) 743-3115

NPI assigned

May 23, 2024

Organization subpart

Yes

Parent organization

YOUNGSTOWN AREA JEWISH FEDERATIONAs reported in NPPES

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

Authorized official

Name

David John Stauffer

Title

Cfo

Phone

(330) 746-3251

Specialties & licenses 5

Addresses

Other names 1

• Heritage Manor Doing business as

Tax ID family

Heritage Manor4 organizations share this tax ID, including this one

Part of

Heritage Manor

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Levy Gardens

  • Assisted Living Facility
  • Youngstown, OH
  • NPI 1356468946
  NPD tax ID
• Youngstown Area Jewish Federation

  • Community/Behavioral Health Agency
  • Youngstown, OH
  • NPI 1841340056
  NPD tax ID
• Youngstown Area Jewish Federation

  • Skilled Nursing Facility
  • Youngstown, OH
  • NPI 1861419814
  NPD tax ID

Locations

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

{
    "created_epoch": "1716422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1689413163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041314",
            "telephone_number": "330-746-3250",
            "fax_number": "330-746-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 GYPSY LANE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "44504",
            "telephone_number": "330-746-1076",
            "fax_number": "330-743-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MANOR",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YOUNGSTOWN AREA JEWISH FEDERATION",
        "enumeration_date": "2024-05-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "STAUFFER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "330-746-3251"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347B00000X",
            "taxonomy_group": "",
            "desc": "Bus",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lagodesse Hendrix
• Lucas W Henn, M.D.
• Anna Henry, AGACNP
• Ashley Henry, DIPLOMA
• Hannah Henry
• Andrew Michael Herman, PHARMD
• Emily Herman, LPC
• Melisa Hermensky
• Donna B Hermison
• Allison Nicole Hernandez, BS

• Adult Day Care Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Adult Day Care Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.