HERITAGE HABILITATION, INC. (NPI# 1922201359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922201359 |
| Entity Type | Organization |
| Organization Name | HERITAGE HABILITATION, INC. |
| Practice Address |
1001 Carousel Dr Bedford TX 76021-3376 |
| Practice Telephone | 8177919040 |
| Practice Fax Number | 8175908305 |
| Mailing Telephone | 8177919040 |
| Mailing Fax Number | 8175908305 |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. HERYN ORI-ADE DONALD (CEO) |
| Authorized Official Telephone | 8177919040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | TX | Agencies |
| Street Address |
1001 CAROUSEL DR |
| City | BEDFORD |
| State | TX |
| Zip Code | 76021-3376 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417150467 | Heryn Donald | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1001 Carousel Dr, Bedford, TX 76021-3376 | 2007-06-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
| 1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
| 1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
| 1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
| 1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
| 1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
| 1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
| 1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
| 1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
| 1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
| Find all providers in zip 76021 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770190118 | Denise D Taylor-moore | Home Health | 536 Shawnee Ln, Bedford, OH 44146-3460 | 2020-09-29 |
| 1285294991 | The Dna Group Inc | Home Health | 116 S River Rd Unit E7c, Bedford, NH 03110-6746 | 2019-06-14 |
| 1427617455 | Joseph L Henderson Sr. | Home Health | 836 Broadway Ave Lowr Level, Bedford, OH 44146-3676 | 2019-06-12 |
| 1619433984 | Home Health Vna Inc | Home Health | 10 Corporate Dr Ste 2203, Bedford, NH 03110-5956 | 2019-02-12 |
| 1477055036 | Gmx Properties LLC | Home Health | 277 Northfield Rd Unit 3, Bedford, OH 44146-4648 | 2018-02-28 |
| 1790206738 | Agape Home Health Agency | Home Health | 50 Woodrow Avenue, Bedford, OH 44146 | 2017-06-29 |
| 1629504287 | Patricia Stevens-jones | Home Health | 836 Broadway Ave, Bedford, OH 44146-3676 | 2017-05-02 |
| 1992189872 | B-trice Home Health Agency LLC | Home Health | 5311 Northfield Road, Suite 202, Bedford, OH 44146 | 2015-07-10 |
| 1568863769 | Above The Best Hhc | Home Health | 34 Carlyle Rd, Bedford, OH 44146-2116 | 2014-09-08 |
| 1588089924 | Professional Healthcare Solutions | Home Health | 466 Northfield Rd # Ll, Bedford, OH 44146-2287 | 2014-02-21 |
| Find all providers in BEDFORD | ||||
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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.