Heritage Care Home of Taylorsville

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

HERITAGE CARE HOME OF TAYLORSVILLE

Practice address

668 Wood Road
Taylorsville, NC 28681

Phone

(855) 593-8766

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Syed Javed

Title

Officer

Phone

(855) 593-8766

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1902595671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42020 VILLAGE CENTER PLAZA STE 120-176",
            "city": "STONERIDGE",
            "state": "VA",
            "postal_code": "20105",
            "telephone_number": "855-593-8766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "668 WOOD ROAD",
            "city": "TAYLORSVILLE",
            "state": "NC",
            "postal_code": "28681",
            "telephone_number": "855-593-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE HOME OF TAYLORSVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "JAVED",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "855-593-8766"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Taylorsville, NC
• Providers in Taylorsville, NC by specialty
• Adult Care Home Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; 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.