Active NPI
Heritage Habilitation, Inc.
- Home Health Agency
- Bedford, TX
National Provider Identifier
1922201359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HERITAGE HABILITATION, INC.
- Practice address
- 1001 Carousel Dr
Bedford, TX 76021-3376 - Phone
- (817) 791-9040
- Fax
- (817) 590-8305
- NPI assigned
- Jun 5, 2007
- 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
- Mr. Heryn Ori-Ade Donald
- Title
- Ceo
- Phone
- (817) 791-9040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | TX | Primary |
Addresses
Primary practice location
1001 Carousel Dr
Bedford, TX 76021-3376
Mailing address
1001 Carousel Dr
Bedford, TX 76021-3376
Phone (817) 791-9040
National Provider Directory
National Provider Directory- Tax ID family
- Heritage Habilitation Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Hurst, TX
- NPI 1487883476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922201359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 CAROUSEL DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213376",
"telephone_number": "817-791-9040",
"fax_number": "817-590-8305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 CAROUSEL DR",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760213376",
"telephone_number": "817-791-9040",
"fax_number": "817-590-8305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HABILITATION, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DONALD",
"authorized_official_first_name": "HERYN",
"authorized_official_middle_name": "ORI-ADE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "817-791-9040",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "TX",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.