Heritage Estates, Inc. in Manteca - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Heritage Estates, Inc. - NPI 1356536965
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 1356536965. 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 | 1356536965 |
|---|---|
| Provider Enumeration Date | 2007-09-07 |
| 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 | 30000412 |
|
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 |
|---|---|---|---|
| 6034823 | CA | MEDI-CAL PIN |
Post Comment/ Review Below
What is the unique 10-digit identifier 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) 1356536965 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Heritage Estates, Inc.?
The Heritage Estates, Inc. is physically situated at Po Box 293, in the city of Manteca, state of CA, with the postal code 953361124.
What is Heritage Estates, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Heritage Estates, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356536965 to Heritage Estates, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1356536965 to Heritage Estates, Inc. on 2007-09-07.
As of what date was the information regarding Heritage Estates, Inc., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Heritage Estates, Inc., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-16.