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HERITAGE RIDGE RETIREMENT COMMUNITY
NPI 1275806838
Assisted Living Facility in Bellevue, NE

Active since February 13, 2012CLIA 28D2004618 · Waiver
1502 FORT CROOK RD S, BELLEVUE, NE 68005(402) 932-1881(402) 916-5500 Get Directions Write a Review

NPPES record last updated: February 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage Ridge Retirement Community NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE RIDGE RETIREMENT COMMUNITY (NPI 1275806838) is a healthcare organization registered as an assisted living facility in Bellevue, Nebraska and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 8, 2028 and lists Stacy Randels, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1275806838
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE RIDGE OPERATING LLC
Location Address1502 FORT CROOK RD SBellevue, NE 68005-2972
Mailing Address1502 Fort Crook Rd SBellevue, NE 68005-2972 · (402) 932-1881 · Fax (402) 916-5500
Phone(402) 932-1881
Fax(402) 916-5500
Organization SubpartYesParent: Heritage Management Services, Inc.
Authorized OfficialStacy RandelsExecutive Director · (402) 932-1881
Enumeration DateFebruary 13, 2012
✔ NPI 1275806838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1502 FORT CROOK RD S, Bellevue, NE 68005
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Other Names 1

Doing Business AsHeritage Ridge Retirement Community

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 28D2004618

Heritage Ridge Retirement Community · Bellevue, NE
Active · expires Mar 8, 2028
CLIA Number28D2004618
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 9, 2026
Certificate Expiration DateMarch 8, 2028
Laboratory DirectorAutumn Durham
Laboratory Phone(402) 932-1881
Laboratory LocationHeritage Ridge Retirement Community1502 Fort Crook Road South, Bellevue, NE 68005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREMERE REHAB LLC
Physical Therapist
1502 FORT CROOK RD S
BELLEVUE, NE 68005
Sarpy County (402) 502-5926

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Ridge Operating LLC's NPI number?

The NPI number for Heritage Ridge Operating LLC is 1275806838. It was assigned to this organization in the NPPES registry on February 13, 2012. The provider is doing business as Heritage Ridge Retirement Community.

Where is Heritage Ridge Operating LLC located?

Heritage Ridge Operating LLC is located at 1502 Fort Crook Rd S, Bellevue, NE 68005. The listed phone number is (402) 932-1881.

What is Heritage Ridge Operating LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Heritage Ridge Operating LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 28D2004618) is associated with this NPI, valid through March 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heritage Ridge Operating LLC was last updated on February 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.