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HERITAGE CARE OF CONOVER NPI 1265561187


NPI Information

NPI: 1265561187
Provider Name: HERITAGE CARE OF CONOVER
Classification: Custodial Care Facility - 311ZA0620X
Entity Type: Organization

Specialization: Adult Care Home

Address:
3430 LESTER ST
CONOVER, NC
ZIP 28613
Phone: (828) 256-9868
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HERITAGE CARE OF CONOVER is an adult care home custodial care facility in Conover, NC. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. HERITAGE CARE OF CONOVER NPI is 1265561187. The provider is registered as an organization entity type.

The provider's business location address is:

3430 LESTER ST
CONOVER, NC
ZIP 28613-685
Phone: (828) 256-9868
Fax: (828) 256-4971

The provider's authorized official is Jackie Caroline Pierce .
The authorized official title is Managing Partner and has the following contact phone number (336) 643-0555.

The enumeration date for this NPI number is 3/5/2007 and was last updated on 6/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityHAL-018-018NORTH CAROLINANo
2311ZA0620XCustodial Care FacilityAdult Care HomeHAL-018-018NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17804342MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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