Active NPI
Heritage House of Portage
- Assisted Living Facility
- Portage, WI
National Provider Identifier
1912836271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- HERITAGE HOUSE OF PORTAGE
- Practice address
- 2685 Airport Rd
Portage, WI 53901-1095 - Phone
- (312) 462-4462
- NPI assigned
- May 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas M Ostrom
- Title
- Ceo
- Phone
- (312) 462-4462
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
2685 Airport Rd
Portage, WI 53901-1095
Mailing address
230 W Monroe St Ste 710
Chicago, IL 60606-4702
Phone (312) 462-4462
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1070390 | Heritage House of Portage | Certificate of waiver | Jun 26, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778716800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778716800000",
"number": "1912836271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 W MONROE ST STE 710",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606064702",
"telephone_number": "312-462-4462"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 AIRPORT RD",
"city": "PORTAGE",
"state": "WI",
"postal_code": "539011095",
"telephone_number": "312-462-4462"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOUSE OF PORTAGE",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-14",
"last_updated": "2026-05-14",
"certification_date": "2026-05-14",
"status": "A",
"authorized_official_last_name": "OSTROM",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-462-4462"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portage, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.