# HERITAGE MANOR HEALTHCARE LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Manor Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457457384
- **Authorized official:** MR. MARK A MORTENSEN (SR VP FINANCE)
- **Authorized official phone:** (714) 577-3880

## Contact information

- **Practice address:** 610 N GARFIELD AVENUE, MONTEREY PARK, CA 91754
- **Practice address phone:** (626) 573-3141
- **Practice address fax:** (626) 571-8461
- **Mailing address:** 3050 SATURN STREET, SUITE \#201, BREA, CA 92821-6278
- **Mailing address phone:** (714) 577-3880
- **Mailing address fax:** (714) 577-3895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 09/16/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT059891 | — | CA |