Organization Active NPI

Heritage Home Health, LLC

  • Home Health Agency
  • Texarkana, AR
National Provider Identifier
1003801010
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
AR4167 Issued in AR
Legal business name
HERITAGE HOME HEALTH, LLC
Practice address
3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818
Phone
(870) 773-4900
Fax
(870) 772-9270
NPI assigned
Sep 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Mrs. Dona Denise Jackson, RN
Title
Administrator
Phone
(870) 773-4900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X AR4167 AR Primary

Addresses

Primary practice location

3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818

Mailing address

3809 E 9TH St
Suite 12
Texarkana, AR 71854-5818
Phone (870) 773-4900

Other identifiers 1

IdentifierTypeStateIssuer
149721514MedicaidAR

Other names 1

  • Integrity Home Health Doing business as

National Provider Directory

National Provider Directory

Locations

3809 E 9th St
Ste 12
Texarkana, AR 71854
Phone (870) 773-4900

NPI Registry JSON

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

{
    "created_epoch": "1126742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1003801010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3809 E 9TH ST",
            "address_2": "SUITE 12",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545818",
            "telephone_number": "870-773-4900",
            "fax_number": "870-772-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 E 9TH ST",
            "address_2": "SUITE 12",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545818",
            "telephone_number": "870-773-4900",
            "fax_number": "870-772-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-15",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DONA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "870-773-4900",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AR",
            "license": "AR4167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "149721514",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Integrity Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Texarkana, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.