HERITAGE HOUSE HUMAN SERVICES INC (NPI# 1487824843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487824843 |
| Entity Type | Organization |
| Organization Name | HERITAGE HOUSE HUMAN SERVICES INC |
| Practice Address |
3557 N Sharon Amity Rd Suite # 100-103 Charlotte NC 28205-8849 |
| Mailing Address |
3557 N Sharon Amity Rd Ste 100-103 Charlotte NC 28205-8849 |
| Practice Telephone | 9175018029 |
| Mailing Telephone | 9175018029 |
| Enumeration Date | 2008-03-01 |
| Last Update Date | 2009-09-24 |
| Authorized Official Name | MR. WILLIAM E. ELLIS I (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9175018029 |
| Authorized Official Credential | BS COMM HEALTH |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251X00000X | Supports Brokerage | Agencies | ||
| Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies |
| Street Address |
3557 N SHARON AMITY RD SUITE # 100-103 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28205-8849 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487260493 | Sarah Mcgeachy Greene | Social Worker | 1332 Morningside Dr., Charlotte, NC 28205 | 2020-09-16 |
| 1538705090 | Insight Counseling & Mental Health Co, Pllc | Social Worker | 4922 Albemarle Blvd, Charlotte, NC 28205 | 2019-11-20 |
| 1821631672 | Healthy Living Pharmacy | Pharmacy | 3717 N. Sharon Amity Road, Suite C, Charlotte, NC 28205 | 2019-10-24 |
| 1861957292 | Oakhurst Health Investers Inc. | Pharmacy | 1630 Oakhurst Commons Dr, Unit 206, Charlotte, NC 28205 | 2019-02-11 |
| 1710459938 | Leis Therapy LLC | Physical Therapist | 1617 Onslow Dr, Charlotte, NC 28205 | 2018-12-28 |
| 1518449776 | Natalie C Martinez-rogers Dmd Pa | Dentist | 2100 N Davidson St Ste B, Charlotte, NC 28205 | 2018-09-05 |
| 1144716499 | Resourceful Solutions II | Case Management | 4920 Albmarle Roadd, Charlotte, NC 28205 | 2018-07-10 |
| 1679072805 | Richard Mcdonald | Counselor | 4922 Albemarle Rd Ste 5, Charlotte, NC 28205 | 2018-02-02 |
| 1487160107 | Catherine King | Nurse Practitioner | 2801 Virginia Ave, Charlotte, NC 28205 | 2017-12-18 |
| 1295251213 | Kashmia A Fanning | Social Worker | 4822 Albermarle Road, Charlotte, NC 28205 | 2017-08-22 |
| Find all providers in zip 28205 | ||||
| Taxonomy Code | 251C00000X |
| Grouping | Agencies |
| Classification | Day Training, Developmentally Disabled Services |
| These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710500616 | New Horizon Residential Services L.l.c | Day Training, Developmentally Disabled Services | 11120 Carver Pond Rd, Charlotte, NC 28269-5007 | 2020-05-26 |
| 1730718776 | Dedicated Caregivers LLC | Day Training, Developmentally Disabled Services | 2750 E W T Harris Blvd Ste 218, Charlotte, NC 28213-4367 | 2020-04-02 |
| 1073054730 | Champion House of Care | Day Training, Developmentally Disabled Services | 5907 Barrington Dr, Charlotte, NC 28215-2311 | 2017-03-14 |
| 1285003590 | Velar Farmer | Day Training, Developmentally Disabled Services | 2603 Midland Ave, Charlotte, NC 28208-4717 | 2015-09-16 |
| 1285038091 | The Kid's Workshop | Day Training, Developmentally Disabled Services | 5901 Beatties Ford Rd, Charlotte, NC 28216-2203 | 2014-10-22 |
| 1457770141 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 8224 Reams Road, Charlotte, NC 28216 | 2014-04-10 |
| 1265851877 | Special K Enrichment, Inc. | Day Training, Developmentally Disabled Services | 1118 Pondella Dr, Charlotte, NC 28213-5939 | 2014-04-10 |
| 1427477033 | Special K Enrichment, Inc. | Day Training, Developmentally Disabled Services | 1618 Galesburg St, Charlotte, NC 28216-4088 | 2014-04-10 |
| 1104245877 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 7618 Woodknoll Drive, Charlotte, NC 28217 | 2014-04-10 |
| 1467871152 | Special K Enrichment, Inc | Day Training, Developmentally Disabled Services | 1504 North Cliff Drive, Charlotte, NC 28216 | 2014-04-10 |
| Find all providers in CHARLOTTE | ||||
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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.