HERITAGE HOSPICE, INC.
NPI 1669462321
Skilled Nursing Facility in Evansville, IN

Active since October 25, 2005CLIA 15D2214290 · Waiver
1202 W. BUENA VISTA RD, SUITE 107, EVANSVILLE, IN 47710(812) 475-9712(812) 475-9716 Get Directions Write a Review

NPPES record last updated: March 6, 2017. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Heritage Hospice, Inc. NPPES

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

HERITAGE HOSPICE, INC. (NPI 1669462321) is a healthcare organization registered as a skilled nursing facility in Evansville, Indiana and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through February 21, 2027 and lists Mark Ambrose, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669462321
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameHERITAGE HOSPICE, INC.
Location Address1202 W. BUENA VISTA RD, SUITE 107Evansville, IN 47710
Mailing Address1202 W. Buena Vista Rd, Suite 107Evansville, IN 47710 · (812) 475-9712 · Fax (812) 475-9716
Fax(812) 475-9716
Organization SubpartNo
Authorized OfficialMark AmbroseCfo · (812) 429-1845
Enumeration DateOctober 25, 2005
Last NPPES UpdateMarch 6, 2017
✔ NPI 1669462321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License✔ Licensed in IN · 004208-1
Definition
(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.
Also ListedHospice Care, Community BasedTaxonomy 251G00000X · License 07-0004208-01 (IN)
1202 W. BUENA VISTA RD, Evansville, IN 47710

Other Identifiers 4

Medicaid200513260AIN
Medicare PIN477101
Medicare OSCAR/certification151589
Medicaid200513260IN

Accepted Insurance

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 15D2214290

Heritage Hospice, Inc · Evansville, IN
Active · expires Feb 21, 2027
CLIA Number15D2214290
Laboratory TypeHospice
Certificate Effective DateFebruary 22, 2025
Certificate Expiration DateFebruary 21, 2027
Laboratory DirectorVanessa Debord
Laboratory Phone(812) 475-9712
Laboratory LocationHeritage Hospice, Inc1202 West Buena Vista Rd Suite 107, Evansville, IN 47711
CLIA data matches this NPI record on: Address 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 Hospice, Inc.'s NPI number?

The NPI number for Heritage Hospice, Inc. is 1669462321. It was assigned to this organization in the NPPES registry on October 25, 2005.

Where is Heritage Hospice, Inc. located?

Heritage Hospice, Inc. is located at 1202 W. Buena Vista Rd Suite 107, Evansville, IN 47710. The listed phone number is (812) 475-9712.

What is Heritage Hospice, Inc.'s specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Heritage Hospice, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2214290) is associated with this NPI, valid through February 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Heritage Hospice, Inc. accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Heritage Hospice, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Heritage Hospice, Inc. was last updated on March 6, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.