Organization
HERITAGE RESIDENCE OF COMMUNITY CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN WRIGHT (EXECUTIVE DIRECTOR)
(563) 659-4100
Entity
Organization
Contact information
Practice address
2275 S LINN AVE, NEW HAMPTON, IA 50659-9412
(641) 394-2391
(641) 394-2704
Mailing address
108 INDUSTRIAL ST, DE WITT, IA 52742-2063
(563) 659-4100
(563) 659-1120
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
190405
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0896787
—
IA
Enumeration date
01/31/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us