# HERITAGE HOMES, INC.

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

## Provider details

- **NPI number:** 1982943304
- **Authorized official:** MRS. DAWN NOORDIJK (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (616) 395-9311

## Contact information

- **Practice address:** 400 136TH AVE, BLDG. 200, STE. 205, HOLLAND, MI 49424-2923
- **Practice address phone:** (616) 395-9311
- **Practice address fax:** (616) 395-9315
- **Mailing address:** 400 136TH AVE, BLDG. 200, STE. 205, HOLLAND, MI 49424-2923
- **Mailing address phone:** (616) 395-9311
- **Mailing address fax:** (616) 395-9315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AM700009394 | MI | Yes |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS080078811 | MI | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS700012873 | MI | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS700012884 | MI | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS700066904 | MI | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | AS700067923 | MI | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/05/2013
- **Last updated:** 02/05/2013
