WAWONA HOME
NPI 1356536965
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Manteca, CA

Q: What is Heritage Estates, Inc.'s NPI number?

The NPI number for Heritage Estates, Inc. is 1356536965. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is doing business as Wawona Home.

Q: What is Heritage Estates, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

Active since September 07, 2007

304 WAWONA ST, MANTECA, CA 95337(209) 823-6061(209) 239-6306 Get Directions Write a Review

NPPES record last updated: June 16, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Wawona Home NPPES

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

WAWONA HOME (NPI 1356536965) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Manteca, California and active in the NPI registry since September 2007. The organization lists Mary A Perry, Secretary/treasurer, as its authorized official.

NPPES Registry Identity

NPI1356536965

Entity TypeOrganization

Primary Taxonomy320900000X

Legal Business NameHERITAGE ESTATES, INC.

Location Address304 WAWONA STManteca, CA 95337-6819

Mailing AddressPo Box 293Manteca, CA 95336-1124 · (209) 823-6061 · Fax (209) 239-6306

Phone(209) 823-6061

Fax(209) 239-6306

Organization SubpartYesParent: Heritage Estates Inc

Authorized OfficialMary A PerrySecretary/treasurer · (209) 823-6061

Enumeration DateSeptember 7, 2007

Last NPPES UpdateJune 16, 2008

✔ NPI 1356536965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities

Taxonomy Code320900000X

License✔ Licensed in CA · 030000412

Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

304 WAWONA ST, Manteca, CA 95337

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Other Names 1

Doing Business AsWawona Home

Other Identifiers 1

Other6034823CA · Medi-cal Pin

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 Estates, Inc.'s NPI number?

The NPI number for Heritage Estates, Inc. is 1356536965. It was assigned to this organization in the NPPES registry on September 7, 2007. The provider is doing business as Wawona Home.

Where is Heritage Estates, Inc. located?

Heritage Estates, Inc. is located at 304 Wawona St, Manteca, CA 95337. The listed phone number is (209) 823-6061.

What is Heritage Estates, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Heritage Estates, Inc. was last updated on June 16, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.