LOCUST HOME
NPI 1710171749
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Manteca, CA

Active since September 03, 2007
1151 LOCUST AVE, 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: July 26, 2026.

About Locust Home NPPES

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

LOCUST HOME (NPI 1710171749) 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

NPI1710171749
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameHERITAGE ESTATES, INC.
Location Address1151 LOCUST AVEManteca, CA 95337-6863
Mailing AddressPo Box 293Manteca, CA 95336-1124 · (209) 823-6061 · Fax (209) 239-6306
Fax(209) 239-6306
Organization SubpartYesParent: Heritage Estates Inc
Authorized OfficialMary A PerrySecretary/treasurer · (209) 823-6061
Enumeration DateSeptember 3, 2007
Last NPPES UpdateJune 16, 2008
NPI 1710171749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
License Licensed in CA · 030000239
Definition

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

1151 LOCUST AVE, Manteca, CA 95337

Other Names 1

Doing Business AsLocust Home

Other Identifiers 1

Other3545713CA · 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 1710171749. It was assigned to this organization in the NPPES registry on September 3, 2007. The provider is doing business as Locust Home.

Where is Heritage Estates, Inc. located?

Heritage Estates, Inc. is located at 1151 Locust Ave, 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 with the weekly NPPES data releases published by CMS.