Heritage Village Ambulance Association Inc

Primary specialty

Land AmbulanceTaxonomy code 3416L0300X

Legal business name

HERITAGE VILLAGE AMBULANCE ASSOCIATION INC

Practice address

588 East Hill Road
Southbury, CT 06488-1389

Phone

(203) 264-9543

NPI assigned

Aug 4, 2005

Organization subpart

No

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

Authorized official

Name

Ken Pelletier

Title

President

Phone

(203) 264-9543

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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

{
    "created_epoch": "1123113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344816000000",
    "number": "1891796405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 MAIN ST",
            "city": "CROMWELL",
            "state": "CT",
            "postal_code": "064162302",
            "telephone_number": "860-638-1800",
            "fax_number": "860-638-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "588 EAST HILL ROAD",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064881389",
            "telephone_number": "203-264-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE VILLAGE AMBULANCE ASSOCIATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-04",
        "last_updated": "2012-08-13",
        "status": "A",
        "authorized_official_last_name": "PELLETIER",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-264-9543"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "CV2214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239027",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "710C130C2CT01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Hawley, MD
• Healthcare Unit Southbury Training School
• Hearing Aid Services Inc
• Brittany Lee Heninger, DPT
• Chelsea Alexandra Hepburn, LCSW
• Melissa Hettenbach, LCSW
• Veronica Hickey, OTR/L
• Dana Hillman-Sabato, LPC
• Regina Onic Hillsman, MD
• Kelly Patrice Hochstetler, MOT, OTR, CLT

• Land Ambulance in Southbury, CT
• Providers in Southbury, CT by specialty
• Land Ambulance in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.