# HERITAGE GROUP HOMES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Youth Services 4
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396297172
- **Authorized official:** SANDI HEYER (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (626) 653-1000

## Contact information

- **Practice address:** 3340 E WHITEBIRCH DR, WEST COVINA, CA 91791-3039
- **Practice address phone:** (626) 430-6864
- **Practice address fax:** (909) 599-8223
- **Mailing address:** PO BOX 8400, LA VERNE, CA 91750-8400
- **Mailing address phone:** (562) 698-1062
- **Mailing address fax:** (909) 599-8223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 197802215 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2016
- **Last updated:** 06/12/2023