Heritage Pride LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HERITAGE PRIDE LLC

Practice address

4730 Fairmount St Apt 4302
Dallas, TX 75219-1144

Phone

(682) 320-7070

NPI assigned

Aug 12, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ikponmwosa Eribo

Title

President/ Ceo

Phone

(682) 320-7070

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1003427238",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 FAIRMOUNT ST APT 4302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191144",
            "telephone_number": "682-320-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 FAIRMOUNT ST APT 4302",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752191144",
            "telephone_number": "682-320-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE PRIDE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-12",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "ERIBO",
        "authorized_official_first_name": "IKPONMWOSA",
        "authorized_official_title_or_position": "PRESIDENT/ CEO",
        "authorized_official_telephone_number": "682-320-7070"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Hereford, MS, CF-SLP
• Natalie Ann Herge, OTR/L
• Whitney Herge, PH.D.
• Heritage Home Health of TX LLC
• Heritage Keepers, LLC
• Heritage Womens Clinic
• Nicole Marie Herleman, PA-C
• William G. Herlihy, M.D.
• Xyrah Faye Herlihy, APRN FNP-BC
• Homer Herlong, M.D.

• In Home Supportive Care Agency in Dallas, TX
• Providers in Dallas, TX by specialty
• In Home Supportive Care Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.