Heritage Healthcare of Northern New Mexico, Inc

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

002570 Issued in NM

Legal business name

HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC

Practice address

1012 Mills Ave
Las Vegas, NM 87701-4049

Phone

(575) 522-2323

Fax

(575) 522-2322

NPI assigned

Dec 10, 2009

Organization subpart

No

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

Authorized official

Name

Susan Marberry

Title

Cco

Phone

(903) 390-4040

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Home Care - Las Vegas Inc. Doing business as

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

{
    "created_epoch": "1260403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1104155753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014049",
            "telephone_number": "575-522-2323",
            "fax_number": "575-522-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014049",
            "telephone_number": "575-522-2323",
            "fax_number": "575-522-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-10",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "MARBERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "903-390-4040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "002570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "7068",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Care - Las Vegas Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dorian Harris
• Lori Hartse
• Georgia Leroy Haynes, MSW
• Sallyanne Haynes
• Lea Henderson, NURSE PRACTITIONER
• Heritage Healthcare of Northern New Mexico, Inc.
• Allan Tilden Herman, MD
• Jayden Hernandez, LSAA
• Lydia Esther Hernandez, LISW
• Marissa Hernandez

• Home Health Agency in Las Vegas, NM
• Providers in Las Vegas, NM by specialty
• Home Health Agency in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.