# HERITAGE CARE HOME OF AUSTIN

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881482917
- **Authorized official:** ASHLEY CARLISLE (MANAGER)
- **Authorized official phone:** (703) 679-7861

## Contact information

- **Practice address:** 511 BUMGARNER INDUSTRIAL DR SW, CONOVER, NC 28613-9205
- **Practice address phone:** (704) 704-2231
- **Practice address fax:** (704) 704-2234
- **Mailing address:** 42020 VILLAGE CENTER PLZ STE 120-176, STONE RIDGE, VA 20105-3034
- **Mailing address phone:** (703) 679-7861

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/29/2025
- **Last updated:** 04/29/2025