Heritage Health Care Systems, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1010296 Issued in IL

Legal business name

HERITAGE HEALTH CARE SYSTEMS, INC.

Practice address

20180 Governors Hwy
Suite 210
Olympia Fields, IL 60461-1027

Phone

(708) 283-8255

Fax

(708) 481-4847

NPI assigned

Jul 9, 2005

Organization subpart

No

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

Authorized official

Name

Mrs. Naomi R Jennings, R.N.

Title

Administrator

Phone

(708) 283-8852

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1120867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083612402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20180 GOVERNORS HWY",
            "address_2": "SUITE 210",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611027",
            "telephone_number": "708-283-8255",
            "fax_number": "708-481-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20180 GOVERNORS HWY",
            "address_2": "SUITE 210",
            "city": "OLYMPIA FIELDS",
            "state": "IL",
            "postal_code": "604611027",
            "telephone_number": "708-283-8255",
            "fax_number": "708-481-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH CARE SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "NAOMI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "708-283-8852",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "1010296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "50298",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7972570",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• 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.