NPI 1013469881
Heritage Group Homes, INC.
Practice location
- Address
- 30 Country Wood Dr, Phillips Ranch, CA 91766-4818
- Phone
- (909) 623-3400
- Fax
- (909) 599-8223
- Mailing address
- PO Box 8400, La Verne, CA 91750-8400
Authorised official
- Name
- Maria Serratos
- Title
- Program Administrator
- Phone
- (909) 599-8222
Registered specialties (2)
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
Case Manager/Care Coordinator
Registry record
- NPI
- 1013469881
- Entity type
- Organization
- NPI issued
- 27 Oct 2016
- Record last updated
- 21 Jun 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.