Provider Demographics
NPI:1528204393
Name:HERITAGE POINTE
Entity Type:Organization
Organization Name:HERITAGE POINTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FELICIA
Authorized Official - Middle Name:S
Authorized Official - Last Name:HICKS
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:214-475-6596
Mailing Address - Street 1:328 S STEWART AVE
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:TX
Mailing Address - Zip Code:75146-3142
Mailing Address - Country:US
Mailing Address - Phone:214-812-9337
Mailing Address - Fax:214-812-9338
Practice Address - Street 1:328 S STEWART AVE
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:TX
Practice Address - Zip Code:75146-3142
Practice Address - Country:US
Practice Address - Phone:214-812-9337
Practice Address - Fax:214-812-9338
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-12-29
Last Update Date:2009-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home