Heritage Homecare Services Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

PFI 1733L001 Issued in NY

Legal business name

HERITAGE HOMECARE SERVICES INC.

Practice address

1906 Kings Hwy FL 2
Brooklyn, NY 11229-1314

Phone

(917) 655-1572

Fax

(718) 750-4033

NPI assigned

Mar 29, 2017

Last updated

Feb 22, 2023By 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

Andrey Novikov

Title

Cfo

Phone

(917) 655-1572

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Heritage Homecare Services Inc2 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.

• Heritage Homecare Services, Inc.

  • Home Health Agency
  • Brooklyn, NY
  • NPI 1265874325
  NPD tax ID

Locations

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

{
    "created_epoch": "1490745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1174055297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1906 KINGS HWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291314",
            "telephone_number": "917-655-1572",
            "fax_number": "718-750-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1906 KINGS HWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291314",
            "telephone_number": "917-655-1572",
            "fax_number": "718-750-4033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOMECARE SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-29",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-22",
        "status": "A",
        "authorized_official_last_name": "NOVIKOV",
        "authorized_official_first_name": "ANDREY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "917-655-1572"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "PFI 1733L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04023534",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judy R Herczl, M.S.
• Marsha Herdsman
• Here Everyone Recovers Health Services LLC
• Carlos B Heredia, PH.D.
• Rita Heredia, SPECIAL EDUCATION
• Heritage Homecare Services, Inc.
• Heritage Human Services
• Heritage Human Services
• Heritage Integrated Health Services Inc.
• Lissa Heriveaux

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.