Heritage Place Management LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HERITAGE PLACE MANAGEMENT LLC

Practice address

1150 S Main St
Bountiful, UT 84010-6351

Phone

(801) 298-3241

Fax

(801) 298-3265

NPI assigned

Oct 19, 2012

Organization subpart

No

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

Authorized official

Name

Amy Allen

Title

Ceo, President & Secretary

Phone

(212) 478-4117

Specialties & licenses 1

Addresses

Other names 1

• Heritage Place Doing business as

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

{
    "created_epoch": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1942553573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SW 1ST AVE",
            "address_2": "# 180",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972015362",
            "telephone_number": "503-684-1123",
            "fax_number": "503-684-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 S MAIN ST",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840106351",
            "telephone_number": "801-298-3241",
            "fax_number": "801-298-3265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PLACE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO, PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "212-478-4117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Place",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Taylor Dawn Heninger
• Kara A. Henrie
• Brandon Henshaw
• Selma Hercinovic
• Heritage Place Assisted Living
• Tiffany Nicole Hermansen
• Tauree Hernandez
• Heros for Independent Living
• Kathryn Louise Hertig
• Micheal M Hess, M.D.

• Assisted Living Facility in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Assisted Living Facility in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.