Heritage Health Care Clinic LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HERITAGE HEALTH CARE CLINIC LLC

Practice address

1031 Ives Dairy Rd Ste 228
Miami, FL 33179-2538

Phone

(561) 633-9037

NPI assigned

May 19, 2021

Organization subpart

No

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

Authorized official

Name

Bernard O Spooner, RN

Title

Consultant Nurse

Phone

(813) 992-7867

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1932773322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "561-633-9037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 IVES DAIRY RD STE 228",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331792538",
            "telephone_number": "561-633-9037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH CARE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-15",
        "status": "A",
        "authorized_official_last_name": "SPOONER",
        "authorized_official_first_name": "BERNARD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CONSULTANT NURSE",
        "authorized_official_telephone_number": "813-992-7867",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yenisleidy Hereira
• Rajeev Herekar, DO
• Ana Heretoiu
• Heriberto M. Ortiz, Psy.D., P.a.
• Hericon Medical Solutions
• Heritage Universal of South Florida Inc
• Heritage Wellness, LLC
• Dominique Julie Heriveaux, R.N.
• Amy Jane Herman, CRNA
• Hermanas Family Home

• Adult Mental Health Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.