Organization Active NPI

Heritage 5, LLC

  • Assisted Living Facility
  • Eau Claire, WI
National Provider Identifier
1770104796
Registry record updated Apr 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Apr 30, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.