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HERITAGE HILLS LLC
NPI 1558659466
Residential Treatment Facility, Physical Disabilities in Patton, MO

Active since July 12, 2011CLIA 26D2137014 · Waiver

NPPES record last updated: July 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Hills Llc NPPES

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

HERITAGE HILLS LLC (NPI 1558659466) is a healthcare organization registered as a residential treatment facility, physical disabilities in Patton, Missouri and active in the NPI registry since July 2011. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Larry Mcculley, Member, as its authorized official.

NPPES Registry Identity

NPI1558659466
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameHERITAGE HILLS LLC
Location AddressPO BOX BPatton, MO 63662-0010
Mailing AddressPo Box BPatton, MO 63662-0010
Phone(573) 866-2003
Organization SubpartNo
Authorized OfficialLarry McculleyMember · (573) 866-2003
Enumeration DateJuly 12, 2011
✔ NPI 1558659466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in MO · 039146
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
PO BOX B, Patton, MO 63662
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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 26D2137014

Heritage Hills Assisted Living Facility · Patton, MO
Active · expires Sep 18, 2027
CLIA Number26D2137014
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorShannon L. Martin
Laboratory Phone(573) 866-2003
Laboratory LocationHeritage Hills Assisted Living FacilityRr 5 Box 68, Patton, MO 63662
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Hills LLC's NPI number?

The NPI number for Heritage Hills LLC is 1558659466. It was assigned to this organization in the NPPES registry on July 12, 2011.

Where is Heritage Hills LLC located?

Heritage Hills LLC is located at PO Box B, Patton, MO 63662. The listed phone number is (573) 866-2003.

What is Heritage Hills LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

Does Heritage Hills LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2137014) is associated with this NPI, valid through September 18, 2027. 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 Hills LLC was last updated on July 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.