HERITAGE HOUSE (NPI# 1013914589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013914589 |
| Entity Type | Organization |
| Organization Name | HERITAGE HOUSE |
| Practice Address |
80 E Northampton St Wilkes Barre PA 18701-3035 |
| Practice Telephone | 5708261031 |
| Practice Fax Number | 5708265053 |
| Mailing Telephone | 5708261031 |
| Mailing Fax Number | 5708265053 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-13 |
| Authorized Official Name | MR. ANDREW B DURAKO (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5708261031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 600602 | PA | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0007475510001 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HERITAGE HOUSE | 211 N Gordy St, El Dorado, KS 67042-1900 |
| Oregon Corporations, Companies and Business Names | HERITAGE HOUSE | 1415 Ne Heritage Drive, Grants Pass, OR 97526 |
| Oregon Corporations, Companies and Business Names | HERITAGE HOUSE ADULT CARE LLC | 4280 Sw 86th Ave, Portland, OR 97225 |
| Virginia Business Entities | Heritage House Antiques LLC | 392 Main St., P.o.box 245, Bland, Virginia 24315 |
| System for Award Management (SAM) Entities | HERITAGE HOUSE APARTMENTS | 95 Dawson Ave, Rockville, MD 20850-1885 |
| Washington State Corporations | HERITAGE HOUSE APARTMENTS L.L.C. | 1112 Daniels St Ste 220, Vancouver, WA 98660 |
| Washington State Corporations | HERITAGE HOUSE ASSOCIATES LLC | 1000 Second Ave #3500, Seattle, WA 98104 |
| Virginia Business Entities | HERITAGE HOUSE B & B LLC | 291 Main Street, Po Box 427, Washington, Virginia 22747 |
| Washington State Corporations | HERITAGE HOUSE BUCKLEY LLC | 1000 2nd Ave # 3500, Bellevue, WA 98104 |
| Virginia Business Entities | Heritage House Cafe Candles and Things LLC | 4512 Edinburg Dr, Dale City, Virginia 22193 |
| Street Address |
80 E NORTHAMPTON ST |
| City | WILKES BARRE |
| State | PA |
| Zip Code | 18701-3035 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306402698 | Allied Services Personal Care Center | Assisted Living Facility | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2019-05-13 |
| 1043876360 | Allied Services Personal Care, Inc | Skilled Nursing Facility | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2019-05-13 |
| 1063702074 | St. Luke's Villa | Skilled Nursing Facility | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2011-04-11 |
| 1871721027 | Brett Hansen | Physical Therapist | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2009-06-26 |
| 1881822195 | Kristina Bach | Physical Therapist | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2009-06-25 |
| 1730321837 | Wilkes Barre Skilled Nursing Services LLC | Skilled Nursing Facility | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2009-04-03 |
| 1669663779 | Hollie Amanda Leatherman | Occupational Therapist | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2007-08-05 |
| 1417170101 | Amy L Dura | Physical Therapy Assistant | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2007-04-11 |
| 1447373923 | Michelle Ann Jacobson | Occupational Therapist | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2007-04-09 |
| 1447377254 | Kathleen Ann Hughes | Occupational Therapist | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2007-03-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878836 | Moriah M Teed | Pharmacist | 115 East Northampton St, Wilkes-barre, PA 18701 | 2020-10-12 |
| 1275164055 | Paul Thomas Stanziale | Social Worker | Children's Service Center, 335 S. Franklin St., Wilkes-barre, PA 18701 | 2020-01-30 |
| 1790211175 | Erik David Robertson | Physical Therapist | 4011 Green Pond Road, Bethlhem, PA 18701 | 2017-05-04 |
| 1063895431 | Jennifer L Schell | Nurse Practitioner | 60 Public Sq, Wilkes Barre, PA 18701 | 2015-07-03 |
| 1184051617 | Vincent L. Carolan | Counselor | 67-69 Public Square, Suite 917, Wilkes-barre, PA 18701 | 2013-09-30 |
| 1538592696 | Courtenay Jayne Mcdonough | Nurse Practitioner | 50 Pennsylvania Blvd, Wilkes-barre, PA 18701 | 2013-08-13 |
| 1043656721 | Barbara Lynnette Hoffman | Nurse Practitioner | 110 S. Pennsylvania Ave, Wilkes-barre, PA 18701 | 2013-05-21 |
| 1518232768 | Sharon Anita Wander | Pediatrics | 47 S Washington Street, Wilkes-barre, PA 18701 | 2012-03-20 |
| 1245564780 | Judith Ann Schrepfer | Occupational Therapist | 1 East Street, Bloomsburg, PA 18701 | 2009-10-01 |
| 1841497658 | Nancy M Rodgers | Counselor | 33 East Northhampton St., Wilkes Barre, PA 18701 | 2007-06-27 |
| Find all providers in zip 18701 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457396202 | River Street Associates | Skilled Nursing Facility | 440 N River St, Wilkes Barre, PA 18702-2631 | 2006-06-17 |
| 1902857360 | Ggnsc Wilkes-barre East Mountain Lp | Skilled Nursing Facility | 101 E Mountain Blvd, Wilkes Barre, PA 18702-7911 | 2006-05-12 |
| 1154372522 | Ggnsc Wilkes-barre II Lp | Skilled Nursing Facility | 50 N Pennsylvania Ave, Wilkes Barre, PA 18701-3503 | 2006-05-12 |
| 1194798652 | Valley Crest Nursing, L.p. | Skilled Nursing Facility | 1551 East End Blvd. Plains Twp., Wilkes Barre, PA 18711-0575 | 2006-02-07 |
| 1134103047 | Little Flower Manor | Skilled Nursing Facility | 200 S Meade St, Wilkes Barre, PA 18702-6221 | 2005-12-05 |
| 1669463949 | Valley Crest Nursing Home (luzerne County) | Skilled Nursing Facility | 1551 E End Blvd, Wilkes Barre, PA 18711-0576 | 2005-11-04 |
| 1700442027 | Allied Services Personal Care, Inc | Skilled Nursing Facility | 200 S Meade St, Wilkes Barre, PA 18702-6221 | 2019-05-13 |
| 1043876360 | Allied Services Personal Care, Inc | Skilled Nursing Facility | 80 E Northampton St, Wilkes Barre, PA 18701-3035 | 2019-05-13 |
| 1669914255 | The Meadows At East Mountain-barre for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 101 E Mountain Blvd, Wilkes Barre, PA 18702-7911 | 2016-11-14 |
| 1619419207 | The Meadows At Summit for Nursing and Rehabilitation LLC | Skilled Nursing Facility | 50 N Pennsylvania Ave, Wilkes Barre, PA 18701-3503 | 2016-11-14 |
| Find all providers in WILKES BARRE | ||||
| City | WILKES BARRE |
| Zip Code | 18701 |
Please comment or provide details below to improve the information on HERITAGE HOUSE.
| 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.