Heritage Rehab, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

HERITAGE REHAB, LLC

Doing business as

Avamere Heritage Rehabilitation of Tacoma

Practice address

7411 Pacific Ave
Tacoma, WA 98408-7118

Phone

(253) 474-8456

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Karl Miller Jr.

Title

Ceo

Phone

(503) 570-3405

Specialties & licenses 1

Addresses

Other names 1

• Avamere Heritage Rehabilitation of Tacoma Doing business as

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jason Heffernan, MD

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1528107562
  NPD (past)
• Joshua B Kretchmar, DO

  • Family Medicine Physician
  • Kent, WA
  • NPI 1629485701
  NPD (past)
• Floyd Sekeramayi, M.D.

  • Internal Medicine Physician
  • Tacoma, WA
  • NPI 1912324559
  NPD (past)
• Maggie Sekeramayi, MD

  • Internal Medicine Physician
  • Lakewood, WA
  • NPI 1801099791
  NPD (past)

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418947200000",
    "number": "1841338704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7411 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087118",
            "telephone_number": "253-474-8456",
            "fax_number": "253-471-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7411 PACIFIC AVE",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984087118",
            "telephone_number": "253-474-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE REHAB, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-12-19",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "KARL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "503-570-3405",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avamere Heritage Rehabilitation of Tacoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Laura Heppell, BCBA
• Jade Tlana Herbert
• Steven Mark Herbert
• Rebecca Rae Muir Hereford, LCSW
• Heritage Rehab, Inc.
• Nancy L Herman, RN, CDE
• Robert A Herman
• Keili Hernandez Guzman
• Gabriela Hernandez Luevano
• Alex Alberto Hernandez Vargas, RN

• Skilled Nursing Facility in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Skilled Nursing Facility in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2014; 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.