HERITAGE HEALTHCARE LLC (NPI# 1912409913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912409913 |
| Entity Type | Organization |
| Organization Name | HERITAGE HEALTHCARE LLC |
| Practice Address |
24 N Hamilton St Minster OH 45865-1117 |
| Mailing Address |
544 Enterprise Dr Lewis Center OH 43035-9704 |
| Practice Telephone | 9378256622 |
| Enumeration Date | 2018-03-06 |
| Last Update Date | 2018-03-06 |
| Authorized Official Name | PAUL BERGSTEN (MANAGING MEMBER) |
| Authorized Official Telephone | 9378256622 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310500000X | Intermediate Care Facility, Mental Illness | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669970687 | Heritage Healthcare LLC | Skilled Nursing Facility | 24 N Hamilton St, Minster, OH 45865-1117 | 2018-01-24 |
| Street Address |
24 N HAMILTON ST |
| City | MINSTER |
| State | OH |
| Zip Code | 45865-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013940741 | Invictus Healthcare, Inc. | Skilled Nursing Facility | 24 N Hamilton St, Minster, OH 45865-1117 | 2006-07-08 |
| 1669970687 | Heritage Healthcare LLC | Skilled Nursing Facility | 24 N Hamilton St, Minster, OH 45865-1117 | 2018-01-24 |
| 1598160723 | Heritage Manor Operating, LLC | Skilled Nursing Facility | 24 N Hamilton St, Minster, OH 45865-1117 | 2014-10-30 |
| 1952593188 | Misty Lee Reier | Nurse's Aide | 24 N Hamilton St, Minster, OH 45865-1117 | 2007-08-12 |
| 1790991230 | Vrable I, Inc. | Intermediate Care Facility, Mentally Retarded | 24 N Hamilton St, Minster, OH 45865-1117 | 2007-05-14 |
| 1689725954 | Vrable I Inc. | Skilled Nursing Facility | 24 N Hamilton St, Minster, OH 45865-1117 | 2007-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962722801 | Maria Jane Zenz | Physical Therapist | 12 Eagle Drive, Minster, OH 45865 | 2010-06-02 |
| 1093916710 | Cornerstone Rehabilitation Ltd | Physical Therapist | 253 West Sixth Street, Minster, OH 45865 | 2007-05-30 |
| 1326130493 | Kathleen M Osterfeld | Occupational Therapist | 253 W Sixth St, Minster, OH 45865 | 2006-09-28 |
| 1780791368 | Minster Dental Center Inc | Dentist | 4215 State Route 66, Minster, OH 45865 | 2006-08-23 |
| 1659792455 | Kyle Whonsetler | Specialist/Technologist | 326 N. Main St, Minster, OH 45865 | 2013-12-20 |
| 1699088260 | Aimee K Jenkins | Physical Therapist | 253 W Sixth St, Minster, OH 45865 | 2010-07-23 |
| 1992909220 | Kari Vehorn | Occupational Therapy Assistant | 253 W Sixth St, Minster, OH 45865 | 2007-06-12 |
| 1588867329 | Jenny S Mark | Occupational Therapist | 253 W Sixth St, Minster, OH 45865 | 2007-06-08 |
| 1699978387 | Stacy Louth | Massage Therapist | 253 W Sixth St, Minster, OH 45865 | 2007-06-08 |
| 1376746388 | Larita M Condon | Speech-Language Pathologist | 253 W Sixth St, Minster, OH 45865 | 2007-06-07 |
| Find all providers in zip 45865 | ||||
| Taxonomy Code | 310500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mental Illness |
| A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487068391 | Latter Rain Associates | Intermediate Care Facility, Mental Illness | 1631 Sherrick Rd Se, Canton, OH 44707-3536 | 2014-06-18 |
| 1891056750 | Amy Snedeker | Intermediate Care Facility, Mental Illness | 68181 Neola Avenue, Bridgeport, OH 43912 | 2012-06-06 |
| 1669538955 | Montgomery Developmental Center | Intermediate Care Facility, Mental Illness | 7650 Timbercrest Dr, Huber Heights, OH 45424-2405 | 2006-12-29 |
| 1801955240 | Hattie Larlham Center for Children With Disablilites | Intermediate Care Facility, Mental Illness | 9772 Diagonal Road, Mantua, OH 44255 | 2006-12-08 |
| 1932268166 | St. Joseph Infant & Maternity Home | Intermediate Care Facility, Mental Illness | 10722 Wyscarver Rd, Cincinnati, OH 45241-3061 | 2006-12-06 |
| 1306486808 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26405 Tryon Rd, Bedford, OH 44146-5970 | 2020-01-13 |
| 1487294237 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 37025 Aurora Rd, Solon, OH 44139-4662 | 2020-01-09 |
| 1508406356 | Hattie Larlham Center for Children With Disabilities | Intermediate Care Facility, Mental Illness | 26365 Tryon Rd, Bedford, OH 44146-5969 | 2020-01-09 |
| 1215470935 | North Community Counseling Centers Inc | Intermediate Care Facility, Mental Illness | 4897 Karl Rd, Columbus, OH 43229-5147 | 2016-11-29 |
| 1477923423 | Steven Mates | Intermediate Care Facility, Mental Illness | 7695 Poe Ave, Dayton, OH 45414-2552 | 2015-10-03 |
| 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.