HERYN DONALD NPI 1417150467

NPI Information

NPI: 1417150467
Provider Name: HERYN DONALD

Doing Business As: HERITAGE HABILITATION

Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
1001 CAROUSEL DR
BEDFORD, TX
ZIP 76021
Phone: (817) 791-9040
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HERYN DONALD is a community based residential treatment facility, intellectual and/or developmental disabilities in Bedford, TX. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. HERYN DONALD NPI is 1417150467. The provider is registered as an organization entity type.
The provider Is Doing Business As Heritage Habilitation.

The provider's business location address is:

1001 CAROUSEL DR
BEDFORD, TX
ZIP 76021-376
Phone: (817) 791-9040
Fax: (817) 590-8305

The provider's authorized official is Heryn O Donald .
The authorized official title is Program Director and has the following contact phone number (817) 791-9040.

The enumeration date for this NPI number is 6/7/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	320900000X	Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities			TEXAS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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