Organization
HERITAGE HOUSE NURSING CENTER, INC
Active
Other names
Eddy Heritage House Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JUANITA WHEELER (DIRECTOR OF FINANCE)
(518) 238-4045
Entity
Organization
Contact information
Practice address
2920 TIBBITS AVE, TROY, NY 12180-7077
(518) 274-4125
(518) 274-4337
Mailing address
421 WEST COLUMBIA STREET, COHOES, NY 12047-2217
(518) 274-4125
(518) 274-4337
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
4102311N
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000400107001
BLUE SHIELD OF NE NY
NY
01
—
009611
BLUE CROSS
NY
01
—
012299
BLUE CROSS FEDERAL
NY
05
—
01365177
—
NY
01
—
10023491
CDPHP
NY
01
—
7419009
AETNA
NY
Enumeration date
05/19/2006
Last updated
08/22/2020
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