NPIMap

Organization Active NPI

Heritage Foundation Inc

  • Substance Abuse Rehabilitation Facility
  • Thomasville, GA
National Provider Identifier
1750415683
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
136-523-D Issued in GA
Legal business name
HERITAGE FOUNDATION INC
Practice address
2025 E Pinetree Blvd
Thomasville, GA 31792
Phone
(229) 228-5545
Fax
(229) 228-7087
NPI assigned
Mar 15, 2007
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
Dr. Gloria D Jones, PHD LPC NCAC II CCA
Title
Executive Director
Phone
(229) 228-5545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 136-523-D GA Primary

Addresses

Primary practice location

2025 E Pinetree Blvd
Thomasville, GA 31792

Mailing address

PO Box 2966
Thomasville, GA 31799
Phone (229) 228-5545

National Provider Directory

National Provider Directory
Tax ID family
Heritage Foundation Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750415683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2966",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31799",
            "telephone_number": "229-228-5545",
            "fax_number": "229-228-7087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2025 E PINETREE BLVD",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "31792",
            "telephone_number": "229-228-5545",
            "fax_number": "229-228-7087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "229-228-5545",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LPC NCAC II CCA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "136-523-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thomasville, GA

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.