N/A

LBN: Heritage Health And Housing, Inc
N/A is an health care organization with primary practice located at 1727 Amsterdam Ave 4Th Floor, New York NY 10031-4611. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Heritage Health And Housing, Inc can be contacted via phone (212) 862-0054, or through Simmons, Alvaro Jose via phone (212) 862-0054.

Contact Information

Primary practice address
1727 Amsterdam Ave 4Th Floor New York NY 10031-4611
Fax: (212) 862-5516
Website:
Authorized official contact:
Name: Simmons, Alvaro Jose PHD

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 7002113R New York
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 7002113R New York

Profile Details

NPI number 1851414965
LBN Legal business name Heritage Health And Housing, Inc
DBA Doing business as N/A
Authorized official Simmons, Alvaro Jose PHD
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2007
Last updated Jan 15th, 2015 - about 10 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 1851414965 NPPES
New York MEDICAID 00509980

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