HERITAGE ESTATES, INC. (NPI# 1356535389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356535389 |
| Entity Type | Organization |
| Organization Name | HERITAGE ESTATES, INC. |
| Other Organization Name | NAVAJO HOME |
| Practice Address |
14646 Navajo Way Manteca CA 95336-2525 |
| Mailing Address |
Po Box 293 Manteca CA 95336-1124 |
| Practice Telephone | 2098236061 |
| Practice Fax Number | 2092396306 |
| Mailing Telephone | 2098236061 |
| Mailing Fax Number | 2092396306 |
| Enumeration Date | 2007-09-03 |
| Last Update Date | 2008-06-16 |
| Authorized Official Name | MS. MARY A PERRY (SECRETARY/TREASURER) |
| Authorized Official Telephone | 2098236061 |
| Is Organization Subpart | Y |
| Parent Organization Name | HERITAGE ESTATES INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 030000451 | CA | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PIN | 2831025 | 01 |
| Other Name | Type Code |
|---|---|
| NAVAJO HOME | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629263231 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 790 Tahoe St, Manteca, CA 95337-6817 | 2007-09-07 |
| 1356536965 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 304 Wawona St, Manteca, CA 95337-6819 | 2007-09-07 |
| 1083808018 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3565 Sunny Rd, Stockton, CA 95215-8302 | 2007-09-03 |
| 1710171749 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1151 Locust Ave, Manteca, CA 95337-6863 | 2007-09-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Heritage Estates, Inc. | 133 Jami-wind Court , Mooresville, NC 28115 |
| Massachusetts Corporation | HERITAGE ESTATES, INC. | 277 MAIN ST. , NASHUA, NH 03060 |
| Street Address |
14646 NAVAJO WAY |
| City | MANTECA |
| State | CA |
| Zip Code | 95336-2525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225687676 | Kasside Sahagun-escalante | Behavior Technician | 402 Victory Ave, Manteca, CA 95336 | 2019-09-09 |
| 1295253797 | Adriana Pena | Counselor | 129 E.center Street Ste.3, Manteca, CA 95336 | 2017-09-05 |
| 1104352277 | Native Directions Inc. | Substance Abuse Rehabilitation Facility | 13505 Union Rd, Manteca, CA 95336 | 2017-05-10 |
| 1437508389 | Anna Gavin | Contractor | 1256 W. Lathrop Rd #376, Manteca, CA 95336 | 2016-06-10 |
| 1164826137 | Michael M. Catz, M.d., Inc | Anesthesiology | 1205 E. North Street, Manteca, CA 95336 | 2014-10-20 |
| 1033518923 | Leanne Louis | Community Health Worker | 129 E Center Street, #3, Manteca, CA 95336 | 2014-08-18 |
| 1255684122 | Kenneth S. Ching, Md., Inc | Anesthesiology | 1205 East North Street, Manteca, CA 95336 | 2012-10-17 |
| 1629323043 | Harpradeep Ratia | Dentist | 1332 E Yosemite Ave, Manteca, CA 95336 | 2012-07-23 |
| 1750643664 | Shelley Marie Kohl | Specialist/Technologist, Other | 425 E. Center St Suite 1, Manteca, CA 95336 | 2012-06-15 |
| 1932488038 | Valerie Diane Segura | Behavioral Analyst | 1882 Cherrywood Pl, Manteca, CA 95336 | 2011-08-08 |
| Find all providers in zip 95336 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629263231 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 790 Tahoe St, Manteca, CA 95337-6817 | 2007-09-07 |
| 1356536965 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 304 Wawona St, Manteca, CA 95337-6819 | 2007-09-07 |
| 1710171749 | Heritage Estates, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1151 Locust Ave, Manteca, CA 95337-6863 | 2007-09-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619589959 | Mcnamar Residential | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2743 Lowell Dr, Chico, CA 95973-7216 | 2020-08-18 |
| 1386277747 | Trilogy Healthcare, Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1989 Edgeview Dr, San Jose, CA 95122-4020 | 2020-02-13 |
| 1093257545 | Casa Edithafoundation Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1756 N Hill Ave, Pasadena, CA 91104-1429 | 2016-11-15 |
| 1336696046 | Mj Asset Services LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1315 W Merced Ave, West Covina, CA 91790-3904 | 2016-09-10 |
| 1639571599 | New Providence Care Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5167 G St, Chino, CA 91710-5143 | 2014-09-23 |
| 1427459700 | Good Samaritan Special Care Home | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 42612 35th St W, Lancaster, CA 93536-4105 | 2014-09-05 |
| 1699107581 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Dr, Sun Valley, CA 91352-3648 | 2013-08-02 |
| 1790126423 | Contemporary Behavior Consultants, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8032 E Bynum St, Long Beach, CA 90808-3231 | 2013-07-10 |
| 1588002216 | Aacres Ca, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 19300 S. Hamilton Ave, Ste 130, Gardena, CA 90248 | 2013-06-04 |
| 1073868279 | Arnon LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 8410 Springford Drive, Sun Valley, CA 91352-3648 | 2012-07-13 |
| Find all providers with the same taxonomy | ||||
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| 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.