Heritage Home Care, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC2462 Issued in NC

Legal business name

HERITAGE HOME CARE, INC

Practice address

21 Wooten Rd
Sparta, NC 28675-8773

Phone

(336) 386-8900

Fax

(336) 386-8971

NPI assigned

Nov 6, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Spencer Miles

Title

Owner Director

Phone

(336) 386-8900

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053480079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 WOOTEN RD",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758773",
            "telephone_number": "336-386-8900",
            "fax_number": "336-386-8971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 WOOTEN RD",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286758773",
            "telephone_number": "336-386-8900",
            "fax_number": "336-386-8971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "OWNER  DIRECTOR",
        "authorized_official_telephone_number": "336-386-8900",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC2462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409517",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600921",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sara Owens Halsey, FNP-C, RN
• Brandi Page Hamm, LCHMC, LCAS
• Melissa A Harris, COTA
• Marcia Smith Hart, LCSW
• Savannah Henry
• Holistic Health and Wellness PA
• Pamela Moxley Hoppers, RPH
• George Keith Howell, M.A., M.DIV., ED.S.
• Miranda Hurley, RPH
• Lesley Blair Icenhour, MSW, LCSWA

• Home Health Agency in Sparta, NC
• Providers in Sparta, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.