Heritage Adult Enrichment Center, LLC

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

License

07025 Issued in NJ

Legal business name

HERITAGE ADULT ENRICHMENT CENTER, LLC

Practice address

440 Washington St
Orange, NJ 07050-1932

Phone

(973) 677-2273

Fax

(862) 233-6450

NPI assigned

Mar 9, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Rene Marie Malts, RN

Title

Owner/Administrator

Phone

(973) 677-2273

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee Malts

  • Adult Day Care Clinic/Center
  • Orange, NJ
  • NPI 1801397922
  NPD

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520553600000",
    "number": "1710480355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S PINE AVE",
            "city": "MAPLE SHADE",
            "state": "NJ",
            "postal_code": "080521806",
            "telephone_number": "856-207-3364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WASHINGTON ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070501932",
            "telephone_number": "973-677-2273",
            "fax_number": "862-233-6450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE ADULT ENRICHMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-09",
        "last_updated": "2018-03-09",
        "status": "A",
        "authorized_official_last_name": "MALTS",
        "authorized_official_first_name": "RENE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "973-677-2273",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NJ",
            "license": "07025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Day Care Clinic/Center in Orange, NJ
• Providers in Orange, NJ by specialty
• Adult Day Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; 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.