Organization Active NPI

Heritage House Health and Rehab Center

  • Skilled Nursing Facility
  • Jasper, IN
National Provider Identifier
1699764357
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
HERITAGE HOUSE HEALTH AND REHAB CENTER
Practice address
2909 Howard Dr
Jasper, IN 47546-1113
Phone
(812) 482-6161
Fax
(812) 482-4282
NPI assigned
Oct 17, 2005
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
Mr. Philip Brown
Title
President
Phone
(317) 398-6809

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X IN Primary

Addresses

Primary practice location

2909 Howard Dr
Jasper, IN 47546-1113

Mailing address

2909 Howard Dr
Jasper, IN 47546-1113
Phone (812) 482-6161

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699764357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2909 HOWARD DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461113",
            "telephone_number": "812-482-6161",
            "fax_number": "812-482-4282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2909 HOWARD DR",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475461113",
            "telephone_number": "812-482-6161",
            "fax_number": "812-482-4282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOUSE HEALTH AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-398-6809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jasper, IN

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.