Organization Active NPI

Heritage 9, LLC

Doing business as Heritage Monona CBRF

  • Assisted Living Facility
  • Monona, WI
National Provider Identifier
1881215895
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 9, LLC
Doing business as
Heritage Monona CBRF
Hub's Home
Practice address
111 Owen Rd
Monona, WI 53716-3585
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

111 Owen Rd
Monona, WI 53716-3585

Mailing address

1295 Northland Dr Ste 270
Mendota Heights, MN 55120-1373
Phone (952) 351-4552

Other names 2

  • Heritage Monona CBRF Doing business as
  • Hub's Home Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D2000694Heritage Monona111 Owen Rd, Monona, WI 53716Certificate of waiverDec 3, 2027

National Provider Directory

National Provider Directory

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": "1881215895",
    "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": "111 OWEN RD",
            "city": "MONONA",
            "state": "WI",
            "postal_code": "537163585",
            "telephone_number": "952-351-4552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE 9, 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": [
        {
            "organization_name": "Heritage Monona CBRF",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hub's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monona, 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.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.