Heritage Grove

LBN: Heritage Grove
Heritage Grove is an health care organization with primary practice located at 115 N 10Th St , Yakima WA 98901-2572. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Heritage Grove can be contacted via phone (509) 248-4173, or through Fish, Kylle via phone (509) 248-4173.

Contact Information

Primary practice address
115 N 10Th St Yakima WA 98901-2572
Phone: (509) 248-4173
Fax: (509) 249-6246
Website:
Map and Directions
Authorized official contact:
Name: Fish, Kylle Master of Arts (MA)
Phone: (509) 248-4173

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X NH1291 Washington

Profile Details

NPI number 1740274695
LBN Legal business name Heritage Grove
DBA Doing business as
Authorized official Fish, Kylle Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2005
Last updated Aug 22nd, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740274695 NPPES
Washington MEDICAID 4112918

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