Heritage Village 3 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9838C Issued in AZ

Legal business name

HERITAGE VILLAGE 3 LLC

Practice address

8035 E Brown Rd
BLDG#3
Mesa, AZ 85207-3901

Phone

(480) 388-1499

NPI assigned

May 20, 2016

Last updated

May 20, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Henley

Title

Director of Finance

Phone

(480) 686-8540

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463702400000",
    "number": "1740637651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "address_2": "BLDG#3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "480-388-1499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "address_2": "BLDG#3",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "480-388-1499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VILLAGE 3 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-20",
        "last_updated": "2016-05-20",
        "status": "A",
        "authorized_official_last_name": "HENLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "480-686-8540"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9838C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Academy, Inc.
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• Heritage Life Center LLC (Heritage Lane Behavioral Assisted Living)
• Heritage Spinal Care LLC
• Heritage Technologies, LLC (Desert Grove Family Medical)
• Heritage Village 5 LLC
• Heritage Village 6 LLC
• Heritage Village BLDG 7
• Heritage Village BLDG 8 LLC
• Heritage Village Bldg1 LLC

• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2016; 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.