Organization Active NPI

Heritage Care Home of Austin

  • Adult Care Home Facility
  • Conover, NC
National Provider Identifier
1881482917
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
HERITAGE CARE HOME OF AUSTIN
Practice address
511 Bumgarner Industrial Dr SW
Conover, NC 28613-9205
Phone
(704) 704-2231
Fax
(704) 704-2234
NPI assigned
Apr 29, 2025
Last updated
Apr 29, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Ashley Carlisle
Title
Manager
Phone
(703) 679-7861

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

511 Bumgarner Industrial Dr SW
Conover, NC 28613-9205

Mailing address

42020 Village Center PLZ Ste 120-176
Stone Ridge, VA 20105-3034
Phone (703) 679-7861

National Provider Directory

National Provider Directory

Locations

511 Bumgarner Industrial Dr SW
Conover, NC 28613
Phone (828) 466-0300

NPI Registry JSON

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

{
    "created_epoch": "1745884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1881482917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLZ STE 120-176",
            "city": "STONE RIDGE",
            "state": "VA",
            "postal_code": "201053034",
            "telephone_number": "703-679-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 BUMGARNER INDUSTRIAL DR SW",
            "city": "CONOVER",
            "state": "NC",
            "postal_code": "286139205",
            "telephone_number": "704-704-2231",
            "fax_number": "704-704-2234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE HOME OF AUSTIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-29",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "CARLISLE",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "703-679-7861"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conover, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.