HERITAGE HOMES, INC. (NPI# 1568677912) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568677912 |
| Entity Type | Organization |
| Organization Name | HERITAGE HOMES, INC. |
| Practice Address |
9656 68th Ave Allendale MI 49401-8358 |
| Mailing Address |
400 136th Ave Bldg. 200, Ste. 205 Holland MI 49424-2923 |
| Practice Telephone | 6168957104 |
| Practice Fax Number | 6168957105 |
| Mailing Telephone | 6163959311 |
| Mailing Fax Number | 6163959315 |
| Enumeration Date | 2007-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. DAWN E. NOORDIJK (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6163959311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
MI | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982943304 | Heritage Homes, Inc. | In Home Supportive Care | 400 136th Ave, Bldg. 200, Ste. 205, Holland, MI 49424-2923 | 2013-02-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | HERITAGE HOMES, INC. | 4 Mirada Ct, Pueblo, CO 81005 |
| System for Award Management (SAM) Entities | HERITAGE HOMES, INC. | 1125 S Independence, Russellville, AR 72801-6671 |
| Washington State Corporations | HERITAGE HOMES, INC. | 9815 Ne 30th St, Bellevue, WA 98004 |
| Street Address |
9656 68TH AVE |
| City | ALLENDALE |
| State | MI |
| Zip Code | 49401-8358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336668615 | Zoe Madeline Menard | Behavior Technician | 5068 West Campus Drive, D28, Allendale, MI 49401 | 2017-09-18 |
| 1396123964 | Lauren Meredith Warner | Family Medicine | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2015-05-14 |
| 1871709600 | Jan Ellen Taylor Schultz | Social Worker | 3925 Hagan Street, Suite 203, Bloomington, IN 49401 | 2007-05-16 |
| 1881814630 | Allendale Eye Care, LLC | Optometrist | 11301 Commerce Rd., Suite A, Allendale, MI 49401 | 2007-04-26 |
| 1609807627 | Kevin R Brader | Obstetrics & Gynecology | 11160 Wj Presley Pkwy, Allendale, MI 49401 | 2006-07-06 |
| 1245204262 | Meghan Marea Berry | Specialist | Grand Valley State University, 1 Campus Dr, Allendale, MI 49401 | 2006-02-15 |
| 1669446704 | Brian Michael Hatzel | Specialist/Technologist | 1 Campus Drive, Grand Valley State University, 184-b Fieldhouse, Allendale, MI 49401 | 2006-02-15 |
| 1396230181 | Marilyn J Helmers | Occupational Therapist | 11007 Radcliff Dr, Allendale, MI 49401 | 2018-06-25 |
| 1992227789 | Ryan Scott Carlson | Nurse Practitioner | 11160 W J Presley Parkway, Suite 100, Allendale, MI 49401 | 2017-07-12 |
| 1750826343 | Hannah Jo Bader | Physician Assistant | 10383 42nd Ave, Allendale, MI 49401 | 2017-01-05 |
| Find all providers in zip 49401 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184181042 | Strive Recreational Therapy Services, Inc. | Respite Care | 6751 Dixie Hwy Ste 113, Clarkston, MI 48346-2080 | 2019-02-27 |
| 1619404308 | Shedrice's Afc | Respite Care | 246 Powell Se Ave, Grand Rapids, MI 49507 | 2017-05-12 |
| 1922531854 | Andrew A Feher Dds | Respite Care | 11270 E 13 Mile Rd Ste 3, Warren, MI 48093-2599 | 2017-04-07 |
| 1235679960 | Care Within Care Housing, Inc | Respite Care | 11256 Engleside St, Detroit, MI 48205-3210 | 2017-02-28 |
| 1649716804 | Learning and Living, LLC. | Respite Care | 150 Mary Alexander Ct, Northville, MI 48167-1628 | 2017-01-12 |
| 1063956654 | Rainbow Homes Non-profit Housing Corporation | Respite Care | 2111 Adelpha Ave, Holt, MI 48842-1117 | 2016-12-15 |
| 1871036442 | Raysen Care Services | Respite Care | 29040 Tessmer Ct, Madison Heights, MI 48071-2656 | 2016-11-29 |
| 1093186769 | Samira Hamo-oumarou | Respite Care | 23378 Heritage Dr, Woodhaven, MI 48183-3240 | 2015-10-07 |
| 1609252592 | Bernadeta Lis | Respite Care | 520 Oxford Ct, Rochester Hills, MI 48307-4527 | 2015-08-03 |
| 1790189777 | Community Linx | Respite Care | 8291 Rolling Hill Ln, Grand Ledge, MI 48837-9251 | 2014-10-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HERITAGE HOMES, INC..
| 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.