Heritage Nursing Home, Inc

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

0038620 Issued in IL

Legal business name

HERITAGE NURSING HOME, INC

Practice address

5888 N Ridge Ave
Chicago, IL 60660-3450

Phone

(773) 769-2626

Fax

(773) 769-2650

NPI assigned

Oct 20, 2005

Organization subpart

No

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

Authorized official

Name

Ms. Kathy Donohue

Title

Administrator

Phone

(773) 769-2626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1129766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962491944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5888 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603450",
            "telephone_number": "773-769-2626",
            "fax_number": "773-769-2650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5888 N RIDGE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606603450",
            "telephone_number": "773-769-2626",
            "fax_number": "773-769-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE NURSING HOME, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "773-769-2626",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "IL",
            "license": "0038620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Heredia, LPC
• Vasyl Hereha, MD
• Anamaria Elena Herescu, MSN, APRN, FNP-C
• Stefanie Herfurth, DO
• Heritage Healthcare Group LLC
• Heritage Professional Associates
• Quinci Herll, DC
• Rita M Herm-Barabasz, APN
• Herman L Morgan M.D.S.C.
• Brian A Herman, M.D.

• Nursing Facility/Intermediate Care Facility in Chicago, IL
• Providers in Chicago, IL by specialty
• Nursing Facility/Intermediate Care Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.