Organization Active NPI

Heritage Care Services LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lewiston, ME
National Provider Identifier
1932975935
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
Legal business name
HERITAGE CARE SERVICES LLC
Doing business as
Heritage Care Services LLC
Practice address
59 Charles St
Lewiston, ME 04240-4817
Phone
(434) 466-5762
NPI assigned
Nov 30, 2023
Last updated
Nov 30, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Authorized official

Name
Mr. Fabrice Ruhumuriza
Title
Ceo
Phone
(434) 466-5762

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X NU Primary

Addresses

Primary practice location

59 Charles St
Lewiston, ME 04240-4817

Mailing address

59 Charles St
Lewiston, ME 04240-4817
Phone (434) 466-5762

Other names 1

  • Heritage Care Services LLC 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": "1701302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701302400000",
    "number": "1932975935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 CHARLES ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404817",
            "telephone_number": "434-466-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 CHARLES ST",
            "city": "LEWISTON",
            "state": "ME",
            "postal_code": "042404817",
            "telephone_number": "434-466-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-30",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A",
        "authorized_official_last_name": "RUHUMURIZA",
        "authorized_official_first_name": "FABRICE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "434-466-5762",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Care Services LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lewiston, ME

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.