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HERITAGE 9, LLC
NPI 1881215895
Assisted Living Facility in Monona, WI

Active since April 30, 2020CLIA 52D2000694 · Waiver

NPPES record last updated: April 30, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage 9, Llc NPPES

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

HERITAGE 9, LLC (NPI 1881215895), doing business as Heritage Monona Cbrf, is a healthcare organization registered as an assisted living facility in Monona, Wisconsin and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through December 3, 2027 and lists Milo Pinkerton, Owner, as its authorized official.

NPPES Registry Identity

NPI1881215895
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE 9, LLC
Location Address111 OWEN RDMonona, WI 53716-3585
Mailing Address1295 Northland Dr Ste 270Mendota Heights, MN 55120-1373 · (952) 351-4552
Phone(952) 351-4552
Organization SubpartNo
Authorized OfficialMilo PinkertonOwner · (952) 351-4552
Enumeration DateApril 30, 2020
NPPES CertifiedApril 30, 2020
✔ NPI 1881215895 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.
111 OWEN RD, Monona, WI 53716
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Other Names 2

Doing Business AsHeritage Monona Cbrf
Doing Business AsHub's Home

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 52D2000694

Heritage Monona · Monona, WI
Active · expires Dec 3, 2027
CLIA Number52D2000694
Laboratory TypeAssisted Living Facility
Certificate Effective DateDecember 4, 2025
Certificate Expiration DateDecember 3, 2027
Laboratory DirectorMs. Kimberly M. Lane
Laboratory Phone(608) 441-2400
Laboratory LocationHeritage Monona111 Owen Rd, Monona, WI 53716
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

HERITAGE 10, LLC
Assisted Living Facility
111 OWEN RD
MONONA, WI 53716
Dane County (952) 351-4552
AEGIS GROUP PRACTICE LLC
Physical Therapist
111 OWEN RD
MONONA, WI 53716
Dane County (608) 692-1830
JAMIE K HANSON PT, DPT
Physical Therapist
111 OWEN RD
MONONA, WI 53716
Dane County (608) 470-8058

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 9, LLC's NPI number?

The NPI number for Heritage 9, LLC is 1881215895. It was assigned to this organization in the NPPES registry on April 30, 2020. The provider is doing business as Heritage Monona CBRF and Hub's Home.

Where is Heritage 9, LLC located?

Heritage 9, LLC is located at 111 Owen Rd, Monona, WI 53716. The listed phone number is (952) 351-4552.

What is Heritage 9, LLC's specialty?

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

Does Heritage 9, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D2000694) is associated with this NPI, valid through December 3, 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 9, LLC was last updated on April 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.