Organization Active NPI

Heritage Retreat Management Group, Inc.

Doing business as Heritage Retreat Atasca Woods

  • Assisted Living Facility
  • Humble, TX
National Provider Identifier
1902404791
Registry record updated Oct 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HERITAGE RETREAT MANAGEMENT GROUP, INC.
Doing business as
Heritage Retreat Atasca Woods
Practice address
7105 Hot Creek Trce
Humble, TX 77346-3098
Phone
(281) 369-4724
Fax
(281) 354-1237
NPI assigned
Oct 13, 2020
Last updated
Oct 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2020

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

Authorized official

Name
Donna O'Connor
Title
Ceo
Phone
(281) 678-2520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7105 Hot Creek Trce
Humble, TX 77346-3098

Mailing address

4321 Kingwood Dr # 17
Kingwood, TX 77339-3700
Phone (281) 678-2520

Other names 1

  • Heritage Retreat Atasca Woods Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1902404791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 KINGWOOD DR # 17",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393700",
            "telephone_number": "281-678-2520",
            "fax_number": "281-354-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7105 HOT CREEK TRCE",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773463098",
            "telephone_number": "281-369-4724",
            "fax_number": "281-354-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE RETREAT MANAGEMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "O'CONNOR",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "281-678-2520"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Retreat Atasca Woods",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.