HERITAGE MANOR – NPI #1689413163
Clinic/Center

HERITAGE MANOR is an AHC clinic located in YOUNGSTOWN, OH. NPPES has assigned the NPI number 1689413163 to HERITAGE MANOR on May 23, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QA0600X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Adult Day Care Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

The NPI profile was last updated on Apr 27, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HERITAGE MANOR below.

NPI Profile for
HERITAGE MANOR

NPI Number
1689413163
Enumeration Date

(about 2 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HERITAGE MANOR
Primary location
517 GYPSY LANE
YOUNGSTOWN, OH 44504
Phone: (330) 746-1076 Fax: (330) 743-3115
Mailing address
505 GYPSY LN
YOUNGSTOWN, OH 44504-1314
Phone: (330) 746-3250 Fax: (330) 746-7926
Organization Subpart
Yes - HERITAGE MANOR is subpart of another organization.
Authorized Official
DAVID STAUFFER
CFO
Phone: (330) 746-3251
Updated
Certification Date
Apr 27, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA0600X
- Clinic/Center / Adult Day Care (Primary)
347B00000X
- Bus
343900000X
- Non-emergency Medical Transport (VAN)
332U00000X
- Home Delivered Meals
251S00000X
- Community/Behavioral Health

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.