Provider Demographics
NPI:1386891661
Name:HERITAGE HEALTH AND HOUSING INC.
Entity type:Organization
Organization Name:HERITAGE HEALTH AND HOUSING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:DEO
Authorized Official - Middle Name:
Authorized Official - Last Name:NARAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:212-866-2600
Mailing Address - Street 1:416 W 127TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10027-2516
Mailing Address - Country:US
Mailing Address - Phone:212-866-2600
Mailing Address - Fax:212-864-5616
Practice Address - Street 1:416 W 127TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10027-2516
Practice Address - Country:US
Practice Address - Phone:212-866-2600
Practice Address - Fax:212-864-5616
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-19
Last Update Date:2008-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01305100Medicaid