Heritage Village Bldg9 LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE VILLAGE BLDG9 LLC

Practice address

8035 E Brown Rd
Mesa, AZ 85207-3901

Phone

(480) 686-8540

NPI assigned

Aug 7, 2020

Organization subpart

No

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

Authorized official

Name

Nate Porter

Title

Chief Marketing Officer

Phone

(801) 644-3640

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1790395309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "480-686-8540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 E BROWN RD",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852073901",
            "telephone_number": "480-686-8540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VILLAGE BLDG9 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "NATE",
        "authorized_official_title_or_position": "CHIEF MARKETING OFFICER",
        "authorized_official_telephone_number": "801-644-3640"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heritage Village Bldg1 LLC
• Heritage Village Bldg2, LLC
• Heritage Village Bldg3, LLC
• Heritage Village Bldg5, LLC
• Heritage Village Bldg6, LLC
• Heritage Village,5
• Meghan Herlhy
• Jennifer L Herman, RPH
• Sally Ann Herman, PMHNP-BC
• Mariam Hernandez Caballero

• 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 Aug 7, 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.