Heritage Health Northeast Inc

LBN: Heritage Health Northeast Inc
Heritage Health Northeast Inc is an health care organization with primary practice located at 735 E 10Th St , Chattanooga TN 37403-2917. The organization recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as the primary health care specialty. Heritage Health Northeast Inc can be contacted via phone (423) 510-9504, or through Nickell, Gerald T via phone (423) 510-9504.

Contact Information

Primary practice address
735 E 10Th St Chattanooga TN 37403-2917
Phone: (423) 510-9504
Fax: (423) 510-9548
Website:
Map and Directions
Authorized official contact:
Name: Nickell, Gerald T CPA
Phone: (423) 510-9504

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X P0000001470 Tennessee

Profile Details

NPI number 1154441210
LBN Legal business name Heritage Health Northeast Inc
DBA Doing business as
Authorized official Nickell, Gerald T CPA
Entity Organization
Organization subpart 1 No
Enumeration date Mar 30th, 2007
Last updated Aug 22nd, 2020 - about 4 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 1154441210 NPPES
Tennessee MEDICAID 3733189

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