1174962666 NPI number — HERITAGE HHC (ABG), LLC

Table of content: (NPI 1174962666)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1174962666 NPI number — HERITAGE HHC (ABG), LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HERITAGE HHC (ABG), LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1174962666
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3416 STILLWATER AVE NW
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CANTON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44708-5867
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
855-326-4790
Provider Business Mailing Address Fax Number:
330-494-8281

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4801 MUNSON ST NW
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CANTON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44718-3614
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
855-326-4790
Provider Business Practice Location Address Fax Number:
330-494-8281
Provider Enumeration Date:
06/18/2013

Additional Information

Authorized Official

Authorized Official Last Name:
CLEMENTE
Authorized Official First Name:
ANASTACIA
Authorized Official Middle Name:
ERESE
Authorized Official Title or Position:
PRESIDENT/ADMINISTRATOR
Authorized Official Telephone Number:
855-326-4790

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0113076 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".




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