HERITAGE BOARD & CARE INC


Address: 2330 E 15th St, Heritage Board & Care, Longbeach, CA 90804
Phone: 5624337314

HERITAGE BOARD & CARE INC (NPI# 1114199882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114199882
Entity Type Organization
Organization Name HERITAGE BOARD & CARE INC
Practice Address 2330 E 15th St
Heritage Board & Care
Longbeach
CA 90804
Practice Telephone 5624337314
Practice Fax Number 5624331316
Mailing Telephone 5624337314
Mailing Fax Number 5624331316
Enumeration Date 2008-04-02
Last Update Date 2020-08-13
Authorized Official Name MRS. LILIA PALAD BALIWAG (LICENSEE)
Authorized Official Telephone 5624337314
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 320800000X Community Based Residential Treatment Facility, Mental Illness Residential Treatment Facilities

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1538331541 Heritage Board & Care Inc Respiratory Therapist, Certified 2445 Pacific Ave, Heritage Board and Care Inc, Long Beach, CA 90804 2008-03-31

Office Location

Street Address 2330 E 15TH ST
HERITAGE BOARD & CARE
City LONGBEACH
State CA
Zip Code 90804

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NPI Name Taxonomy Address Enumeration
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1093365447 Edelmira D Sanchez Technician 837 Bennett Ave, Long Beach, CA 90804 2019-09-18
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1124557657 Keav Siv Khov Social Worker 4510 East Pacific Coast Highway, Suite 600, Long Beach, CA 90804 2017-06-08
1265966576 Kensie Hoag Social Worker 4510 E PCh, Suite 305, Long Beach, CA 90804 2017-04-13
1528424389 Rem Pacific Sleep Center, Inc. Specialist/Technologist 2990 E. Pacific Coast Hwy, Suite A, Long Beach, CA 90804 2016-01-10
1417326935 Kelli Ann Carlson Student in an Organized Health Care Education/Training Program 2025 E. 7th Street, Long Beach, CA 90804 2015-09-15
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Taxonomy Information

Taxonomy Code 320800000X
Grouping Residential Treatment Facilities
Classification Community Based Residential Treatment Facility, Mental Illness

Taxonomy Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Notes: [7/1/2003: new]

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1477151199 Inspiring Pathways, Inc. Community Based Residential Treatment Facility, Mental Illness 1798 Bryman St, Hanford, CA 93230-7144 2020-10-14
1356949226 Wings Recovery Center, Inc. Community Based Residential Treatment Facility, Mental Illness 3134 Morningside Dr, Oceanside, CA 92056-4401 2020-10-13
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Competitor

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City LONGBEACH
Zip Code 90804

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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