Heritage Oaks Alf Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL4906 Issued in FL

Legal business name

HERITAGE OAKS ALF INC

Practice address

10759 Cory Lake Dr
Tampa, FL 33647-2725

Phone

(813) 352-3569

NPI assigned

Dec 3, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Louie G Macalinao, MBA

Title

President

Phone

(813) 352-3569

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Heritage Oaks Alf 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 Oaks Alf Inc.

  • Assisted Living Facility
  • Tampa, FL
  • NPI 1265776389
  NPD tax ID

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449100800000",
    "number": "1992170831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10759 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472725",
            "telephone_number": "813-352-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10759 CORY LAKE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472725",
            "telephone_number": "813-352-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE OAKS ALF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A",
        "authorized_official_last_name": "MACALINAO",
        "authorized_official_first_name": "LOUIE",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-352-3569",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL4906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003855800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly Herd
• Sarah Elizabeth Herdocia, APRN
• Clarillette Heredia, M.A.
• Kayla Heredia
• Heritage Manor Assisted Living Facility, Corp
• Heritage Oaks Alf Inc.
• Heritage View Alf Inc.
• Darragh Ann Herlihy, NP
• Elizabeth J Herman, M.D.
• Kim Michele Herman, LMHC

• Assisted Living Facility in Tampa, FL
• Providers in Tampa, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.