OrganizationActive
Heritage Estates, Inc.
NPI 1629263231 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Manteca, CA
Provider details
- NPI number
- 1629263231
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Heritage Estates Inc
- Organization subpart
- Yes
- Authorized official
- Mary Perry, Secretary/Treasurer(209) 823-6061
- License
- 030000295 (CA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense 030000295 (CA)
Residential Treatment Facilities
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
790 Tahoe St
Manteca, CA 95337-6817
Phone: (209) 823-6061
Fax: (209) 239-6306
Street-level locationGet directions
Mailing address
Po Box 293
Manteca, CA 95336-1124
Other names (DBA / former)
- Doing business as
- Tahoe Home
Registry dates
- Enumerated
- 2007-09-07
- Last updated
- 2008-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.