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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

HERITAGE HOUSE OF PORTAGE
NPI 1912836271
Assisted Living Facility in Portage, WI

Active since May 14, 2026CLIA 52D1070390 · Waiver
2685 AIRPORT RD, PORTAGE, WI 53901(312) 462-4462 Get Directions Write a Review

NPPES record added: May 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heritage House Of Portage NPPES

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

HERITAGE HOUSE OF PORTAGE (NPI 1912836271) is a healthcare organization registered as an assisted living facility in Portage, Wisconsin and active in the NPI registry since May 2026. The organization holds a CLIA Waiver certificate valid through June 26, 2027 and lists Thomas M Ostrom, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912836271
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHERITAGE HOUSE OF PORTAGE
Location Address2685 AIRPORT RDPortage, WI 53901-1095
Mailing Address230 W Monroe St Ste 710Chicago, IL 60606-4702 · (312) 462-4462
Phone(312) 462-4462
Organization SubpartNo
Authorized OfficialThomas M OstromCeo · (312) 462-4462
Enumeration DateMay 14, 2026
NPPES CertifiedMay 14, 2026
✔ NPI 1912836271 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.
2685 AIRPORT RD, Portage, WI 53901
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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 52D1070390

Heritage House Of Portage · Portage, WI
Active · expires Jun 26, 2027
CLIA Number52D1070390
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 27, 2025
Certificate Expiration DateJune 26, 2027
Laboratory DirectorJoanne Ochowicz
Laboratory Phone(608) 745-3312
Laboratory LocationHeritage House Of Portage2685 Airport Rd, Portage, WI 53901
CLIA data matches this NPI record on: Address Name
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 House Of Portage's NPI number?

The NPI number for Heritage House Of Portage is 1912836271. It was assigned to this organization in the NPPES registry on May 14, 2026.

Where is Heritage House Of Portage located?

Heritage House Of Portage is located at 2685 Airport Rd, Portage, WI 53901. The listed phone number is (312) 462-4462.

What is Heritage House Of Portage's specialty?

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

Does Heritage House Of Portage hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 52D1070390) is associated with this NPI, valid through June 26, 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 House Of Portage was last updated on May 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.