Heritage Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

101116 Issued in AK

Legal business name

HERITAGE HOME

Practice address

6730 Obrien St
Anchorage, AK 99507-2184

Phone

(907) 868-1887

NPI assigned

Nov 6, 2015

Organization subpart

No

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

Authorized official

Name

Sharlyn Medcoff

Title

Administrator

Phone

(907) 952-2184

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1446768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446768000000",
    "number": "1982077319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231253",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995231253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6730 OBRIEN ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995072184",
            "telephone_number": "907-868-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-06",
        "last_updated": "2015-11-06",
        "status": "A",
        "authorized_official_last_name": "MEDCOFF",
        "authorized_official_first_name": "SHARLYN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "907-952-2184"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "101116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynne Herbst
• Catherine Herd, PHARMD
• Heritage Assisted Living Home 2
• Heritage Assisted Living Home LLC
• Heritage Assisted Living Home,LLC
• Alyson K Herman, LPC-S
• Jean Daisy Herman
• Jhomar Hermano
• Travis J Hermansen
• Elias Hermanson

• Assisted Living Facility in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Assisted Living Facility in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.