Heritage Healthcare Holdings Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

032413 Issued in MO

Legal business name

HERITAGE HEALTHCARE HOLDINGS INC

Practice address

5026 Faraon St
Saint Joseph, MO 64506-3375

Phone

(816) 279-1591

Fax

(816) 232-3775

NPI assigned

Jul 18, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Gina Fox

Title

President

Phone

(816) 390-5970

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1437177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437436800000",
    "number": "1972987915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5026 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063375",
            "telephone_number": "816-279-1591",
            "fax_number": "816-232-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5026 FARAON ST",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645063375",
            "telephone_number": "816-279-1591",
            "fax_number": "816-232-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTHCARE HOLDINGS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-18",
        "last_updated": "2015-07-21",
        "status": "A",
        "authorized_official_last_name": "FOX",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-390-5970",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "032413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101478006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dustin Helsel, NP-C
• Sivi N Helsel, DC
• Henry W Fricke DDS PC
• Nina Elli Henry, STUDENT
• Heritage Healthcare Holdings Inc (Abbey Woods Living & Rehab Center)
• Dorothy Alice Hernandez, COTA
• Salvador Hernandez
• Lauren Michele Herr, LMSW
• Gage Herrington, PLPC
• Stevie Jae Hiatt, FNP

• Skilled Nursing Facility in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2015; 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.