Organization Active NPI

Heritage Christian Services Inc

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • East Rochester, NY
National Provider Identifier
1700077443
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
HERITAGE CHRISTIAN SERVICES INC
Practice address
349 West Commercial Street
Suite 2795
East Rochester, NY 14445
Phone
(585) 340-2000
Fax
(585) 340-2006
NPI assigned
Aug 7, 2007
Last updated
Dec 15, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Ms. Marisa Geitner
Title
President & Ceo
Phone
(585) 340-2000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 1901L001 NY
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Primary

Addresses

Primary practice location

349 West Commercial Street
Suite 2795
East Rochester, NY 14445

Mailing address

349 West Commercial Street
Suite 2795
East Rochester, NY 14445
Phone (585) 340-2000

Other identifiers 20

IdentifierTypeStateIssuer
02557959MedicaidNY
02587300MedicaidNY
02610997MedicaidNY
01999366MedicaidNY
02247276MedicaidNY
02532841MedicaidNY
02596110MedicaidNY
01522623MedicaidNY
01855852MedicaidNY
01984918MedicaidNY
02171153MedicaidNY
02594301MedicaidNY
01750650MedicaidNY
01960663MedicaidNY
01999499MedicaidNY
02463207MedicaidNY
02266888MedicaidNY
02416228MedicaidNY
02119244MedicaidNY
02594310MedicaidNY

National Provider Directory

National Provider Directory
Tax ID family
Heritage Christian Services Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

349 W Commercial St
Ste 2795
East Rochester, NY 14445
Phone (585) 340-2000

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1700077443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "349 WEST COMMERCIAL STREET",
            "address_2": "SUITE 2795",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "14445",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 WEST COMMERCIAL STREET",
            "address_2": "SUITE 2795",
            "city": "EAST ROCHESTER",
            "state": "NY",
            "postal_code": "14445",
            "telephone_number": "585-340-2000",
            "fax_number": "585-340-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CHRISTIAN SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "GEITNER",
        "authorized_official_first_name": "MARISA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "585-340-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1901L001",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
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        },
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            "code": "05",
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        },
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            "code": "05",
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            "state": "NY"
        },
        {
            "code": "05",
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        },
        {
            "code": "05",
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        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01522623",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01855852",
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        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01984918",
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        },
        {
            "code": "05",
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            "code": "05",
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        {
            "code": "05",
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            "issuer": null,
            "identifier": "01750650",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01960663",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01999499",
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            "code": "05",
            "desc": "MEDICAID",
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            "identifier": "02463207",
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        {
            "code": "05",
            "desc": "MEDICAID",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02416228",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02119244",
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        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02594310",
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        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.