Heron Care LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

HERON CARE LLC

Practice address

3246 E Carla Vista Dr
Gilbert, AZ 85295-3424

Phone

(478) 978-2831

NPI assigned

Nov 29, 2022

Organization subpart

No

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

Authorized official

Name

Gordon Kabuye Ssegimu

Title

Program Director

Phone

(478) 978-2831

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1851001143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3246 E CARLA VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953424",
            "telephone_number": "478-978-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3246 E CARLA VISTA DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852953424",
            "telephone_number": "478-978-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERON CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "SSEGIMU",
        "authorized_official_first_name": "GORDON",
        "authorized_official_middle_name": "KABUYE",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "478-978-2831"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nataly Kristina Hernandez
• Samantha Lorriane Hernandez, SLPA
• Sarah Hernandez
• Stephanie M. Hernandez
• Vincent Robert Hernandez, PAC
• Bruce L. Herr Jr., D.D.S.
• Mario Herrejon-Ruiz, DMD
• Guadalupe Herrera-Garcia, D.O.
• Ingrid Herrera
• Jessica Herrera, RBT

• Mental Illness Community Based Residential Treatment Facility in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.