Provider Demographics
NPI:1427045541
Name:NEW HERITAGE TOWERS
Entity Type:Organization
Organization Name:NEW HERITAGE TOWERS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:CHERRY
Authorized Official - Suffix:
Authorized Official - Credentials:NHA
Authorized Official - Phone:215-345-4300
Mailing Address - Street 1:101 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:HATBORO
Mailing Address - State:PA
Mailing Address - Zip Code:19040-1229
Mailing Address - Country:US
Mailing Address - Phone:215-354-9586
Mailing Address - Fax:215-354-1435
Practice Address - Street 1:200 VETERANS LN
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-6716
Practice Address - Country:US
Practice Address - Phone:215-345-4300
Practice Address - Fax:215-345-4927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-04
Last Update Date:2012-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA085502314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA5161500OtherAETNA PROVIDER NUMBER
PA0010035800001Medicaid
PA0005994000OtherIBC PROVIDER ID
PA0010035800001Medicaid