Organization Active NPI

Ahp Yorktown Al LLC

Doing business as Heritage Assisted Living of Yorktown

  • Assisted Living Facility
  • Yorktown, IN
National Provider Identifier
1942086376
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AHP YORKTOWN AL LLC
Doing business as
Heritage Assisted Living of Yorktown
Practice address
1400 S Patriot Dr
Yorktown, IN 47396-9380
Phone
(765) 207-5984
NPI assigned
Sep 1, 2023
Last updated
Sep 1, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Authorized official

Name
Tammy Gerardot
Title
Sr. Revenue Director
Phone
(260) 414-5085

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

1400 S Patriot Dr
Yorktown, IN 47396-9380

Mailing address

1400 S Patriot Dr
Yorktown, IN 47396-9380

Other names 1

  • Heritage Assisted Living of Yorktown Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
15D2289321Ahp Yorktown Al, LLC1400 S Patriot Dr, Yorktown, IN 47396Certificate of waiverSep 7, 2027

National Provider Directory

National Provider Directory

Locations

1400 S Patriot Dr
Yorktown, IN 47396
Phone (765) 207-5984

NPI Registry JSON

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1942086376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S PATRIOT DR",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S PATRIOT DR",
            "city": "YORKTOWN",
            "state": "IN",
            "postal_code": "473969380",
            "telephone_number": "765-207-5984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHP YORKTOWN AL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "GERARDOT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "SR. REVENUE DIRECTOR",
        "authorized_official_telephone_number": "260-414-5085"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Assisted Living of Yorktown",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yorktown, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.

Verify at the official NPI Registry.