Active NPI
Ahp Yorktown Al LLC
Doing business as Heritage Assisted Living of Yorktown
- Assisted Living Facility
- Yorktown, IN
National Provider Identifier
1942086376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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, 2023
- 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
- Tammy Gerardot
- Title
- Sr. Revenue Director
- Phone
- (260) 414-5085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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 |
|---|---|---|---|
| 15D2289321 | Ahp Yorktown Al, LLC | Certificate of waiver | Sep 7, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.