Organization Active NPI

Heritage Home Health Care LLC

  • In Home Supportive Care Agency
  • Alexandria, VA
National Provider Identifier
1053742387
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
HCO-141019 Issued in VA
Legal business name
HERITAGE HOME HEALTH CARE LLC
Practice address
1940 Duke St
Suite 200
Alexandria, VA 22314-3451
Phone
(571) 294-1410
NPI assigned
Dec 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Authorized official

Name
Lensa Erenna
Title
Administrator
Phone
(703) 409-2990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X HCO-141019 VA Primary

Addresses

Primary practice location

1940 Duke St
Suite 200
Alexandria, VA 22314-3451

Mailing address

1940 Duke St
Suite 200
Alexandria, VA 22314-3451

Other identifiers 1

IdentifierTypeStateIssuer
1003244500MedicaidVA

National Provider Directory

National Provider Directory
Tax ID family
Heritage Home Health Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386806400000",
    "number": "1053742387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 DUKE ST",
            "address_2": "SUITE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 DUKE ST",
            "address_2": "SUITE 200",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143451",
            "telephone_number": "571-294-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-12",
        "last_updated": "2013-12-12",
        "status": "A",
        "authorized_official_last_name": "ERENNA",
        "authorized_official_first_name": "LENSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "703-409-2990"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "VA",
            "license": "HCO-141019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1003244500",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.