Heritage Estates, Inc. in Manteca - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Heritage Estates, Inc. - NPI 1356535389
Heritage Estates, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Manteca, California. Heritage Estates, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Heritage Estates, Inc. is 1356535389. The last update date is 2008-06-16.
Heritage Estates, Inc.'s current location address is Po Box 293, Manteca, California. You can contact this provider via phone number 2098236061 and fax number 2092396306. The mailing address for Heritage Estates, Inc. is Po Box 293, Manteca, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Estates, Inc. |
|---|---|
| Address | Po Box 293, Manteca, California |
| Phone Number | 2098236061 |
| Fax Number | 2092396306 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SECRETARY/ |
|---|---|
| Authorized Official Name | Perry A Mary |
| Telephone Number | 2098236061 |
NPI Number Detail
| NPI Number | 1356535389 |
|---|---|
| Provider Enumeration Date | 2007-09-03 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | Po Box 293 |
|---|---|
| City | Manteca |
| State | California (CA) |
| Post Code | 953361124 |
| Phone Number | 2098236061 |
| Fax Number | 2092396306 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 30000451 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2831025 | CA | MEDI-CAL PIN |
Post Comment/ Review Below
What is the unique identification code assigned to Heritage Estates, Inc. by the Centers for Medicare & Medicaid Services?
The Heritage Estates, Inc. has been issued the NPI (National Provider Identifier) 1356535389. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Heritage Estates, Inc. located?
The Heritage Estates, Inc. is located at Po Box 293, Manteca, CA 953361124.
What is Heritage Estates, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Heritage Estates, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320900000X.
When did Heritage Estates, Inc. receive its 1356535389 assignment?
The Heritage Estates, Inc. was assigned its 1356535389 on 2007-09-03, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Heritage Estates, Inc. most recently updated or revised?
The information pertaining to Heritage Estates, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-06-16.