Active NPI
Heritage 5, LLC
- Assisted Living Facility
- Eau Claire, WI
National Provider Identifier
1770104796
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HERITAGE 5, LLC
- Practice address
- 3515 E Hamilton Ave
Eau Claire, WI 54701-6881 - Phone
- (952) 351-4552
- NPI assigned
- Apr 30, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Milo Pinkerton
- Title
- Owner
- Phone
- (952) 351-4552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
3515 E Hamilton Ave
Eau Claire, WI 54701-6881
Mailing address
1295 Northland Dr Ste 270
Mendota Heights, MN 55120-1373
Phone (952) 351-4552
National Provider Directory
National Provider DirectoryLocations
1295 Northland Dr
Ste 270
Mendota Heights, MN 55120
Phone (612) 900-7021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1588204800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1588204800000",
"number": "1770104796",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1295 NORTHLAND DR STE 270",
"city": "MENDOTA HEIGHTS",
"state": "MN",
"postal_code": "551201373",
"telephone_number": "952-351-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3515 E HAMILTON AVE",
"city": "EAU CLAIRE",
"state": "WI",
"postal_code": "547016881",
"telephone_number": "952-351-4552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE 5, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-04-30",
"last_updated": "2020-04-30",
"certification_date": "2020-04-30",
"status": "A",
"authorized_official_last_name": "PINKERTON",
"authorized_official_first_name": "MILO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "952-351-4552"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eau Claire, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.