Heritage Corner Therapy, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

HERITAGE CORNER THERAPY, LLC

Practice address

1069 Klotz Rd
Bowling Green, OH 43402-4828

Phone

(419) 728-7010

NPI assigned

Jun 8, 2012

Organization subpart

No

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

Authorized official

Name

Mark Harrison Manley

Title

Member

Phone

(419) 728-7010

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1339113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342051200000",
    "number": "1861754640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024828",
            "telephone_number": "419-728-7010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1069 KLOTZ RD",
            "city": "BOWLING GREEN",
            "state": "OH",
            "postal_code": "434024828",
            "telephone_number": "419-728-7010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CORNER THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-08",
        "last_updated": "2012-07-12",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "HARRISON",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "419-728-7010"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Henry
• Marissa Rose Hergert
• Heritage Corner Health Care Campus
• Heritage Corner Nursing Home, LLC
• Heritage Corner Nursing Home, LLC
• Camila Maria Hernandez
• Patricia Hernandez
• Leah Mae Hertenstein, LMT
• Douglas William Hess, MD
• Luana Jane Hess, MD

• Rehabilitation Clinic/Center in Bowling Green, OH
• Providers in Bowling Green, OH by specialty
• Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.