Heritage Homes, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

AM700009394 Issued in MI

Legal business name

HERITAGE HOMES, INC.

Practice address

400 136TH Ave
BLDG. 200, Ste. 205
Holland, MI 49424-2923

Phone

(616) 395-9311

Fax

(616) 395-9315

NPI assigned

Feb 5, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Dawn Noordijk

Title

Executive Director

Phone

(616) 395-9311

Specialties & licenses 8

Addresses

Tax ID family

Heritage Homes Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heritage Homes, Inc.

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Allendale, MI
  • NPI 1568677912
  NPD tax ID

Locations

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

{
    "created_epoch": "1360022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360022400000",
    "number": "1982943304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 136TH AVE",
            "address_2": "BLDG. 200, STE. 205",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242923",
            "telephone_number": "616-395-9311",
            "fax_number": "616-395-9315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 136TH AVE",
            "address_2": "BLDG. 200, STE. 205",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494242923",
            "telephone_number": "616-395-9311",
            "fax_number": "616-395-9315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOMES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-05",
        "last_updated": "2013-02-05",
        "status": "A",
        "authorized_official_last_name": "NOORDIJK",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "616-395-9311",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AM700009394",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS080078811",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS700012873",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS700012884",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS700066904",
            "primary": false
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "AS700067923",
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Henige, MA CCC-SLP
• Grant Daniel Henkel, MSW
• Roseann Henley, B&B
• Sharon Henry, RN
• Molly Henson-Boone, LMSW
• Nancy Herman, LBSW
• Gloria Ann Hernandez-Dusek, MASTERS LTD SW
• Anna S Hernandez
• Belma Rosa Hernandez, MSW
• Gabriel Hernandez, LMSW

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Holland, MI
• Providers in Holland, MI by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2013; 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.