HERITAGE BOARD & CARE INC – NPI #1114199882
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

HERITAGE BOARD & CARE INC is a community based residential treatment facility located in LONG BEACH, CA. NPPES has assigned the NPI number 1114199882 to HERITAGE BOARD & CARE INC on April 02, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 6 years ago on Aug 13, 2020. 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 BOARD & CARE INC below.

NPI Profile for
HERITAGE BOARD & CARE INC

NPI Number
1114199882
Enumeration Date

(more than 18 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 BOARD & CARE INC
Primary location
2330 E 15TH ST
HERITAGE BOARD & CARE
LONG BEACH, CA 90804
Phone: (562) 433-7314 Fax: (562) 433-1316
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LILIA BALIWAG
LICENSEE
Phone: (562) 433-7314
Updated
Certification Date
Aug 13, 2020

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
320800000X
- Community Based Residential Treatment Facility, Mental Illness (Primary)

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.