Heritage Medical Staffing,LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

10793601 Issued in PA

Legal business name

HERITAGE MEDICAL STAFFING,LLC

Practice address

320 Emerald St
Harrisburg, PA 17110-1820

Phone

(717) 901-4045

Fax

(717) 901-4046

NPI assigned

Feb 8, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Otto Eyoma, MR

Title

Member Partner

Phone

(717) 350-8778

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1265587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392076800000",
    "number": "1033441506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EMERALD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101820",
            "telephone_number": "717-370-7090",
            "fax_number": "717-370-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EMERALD ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171101820",
            "telephone_number": "717-901-4045",
            "fax_number": "717-901-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE MEDICAL STAFFING,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-08",
        "last_updated": "2014-02-11",
        "status": "A",
        "authorized_official_last_name": "EYOMA",
        "authorized_official_first_name": "OTTO",
        "authorized_official_title_or_position": "MEMBER PARTNER",
        "authorized_official_telephone_number": "717-350-8778",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MR"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "PA",
            "license": "10793601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME CARE LICENSE",
            "identifier": "10793601",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph B Herchelroath, DO
• Heritage Medical Group LLP
• Heritage Medical Group, LLP
• Heritage Medical Group, LLP
• Heritage Medical Group, LLP
• Herman Chiropractic Center of Lebanon, Inc.
• Callie Nicole Herman, D.O.
• Erik Hernandez, PHARMD, RPH
• Mariela Hernandez, MS
• Brandon Heroth, D.D.S

• In Home Supportive Care Agency in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2014; 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.