Heritage HHC (Abg), LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HERITAGE HHC (ABG), LLC

Practice address

4801 Munson St NW
Canton, OH 44718-3614

Phone

(855) 326-4790

Fax

(330) 494-8281

NPI assigned

Jun 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Anastacia Erese Clemente

Title

President/Administrator

Phone

(855) 326-4790

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Home Healthcare of Stark & Portage Counties Doing business as

Locations

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1174962666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 STILLWATER AVE NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447085867",
            "telephone_number": "855-326-4790",
            "fax_number": "330-494-8281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 MUNSON ST NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447183614",
            "telephone_number": "855-326-4790",
            "fax_number": "330-494-8281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HHC (ABG), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-18",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "CLEMENTE",
        "authorized_official_first_name": "ANASTACIA",
        "authorized_official_middle_name": "ERESE",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "855-326-4790",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0113076",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Healthcare of Stark & Portage Counties",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hayley Madison Hensal, BS
• Tara Hensley
• Craig J Henzel, D.D.S.
• Christopher Herberghs
• Kathi Herberghs, BA, CWIC
• David Herl, EDD
• Andrew Herman, MD
• Edward Herman, LSW
• Nicole Herndon
• Katrena Herring

• Home Health Agency in Canton, OH
• Providers in Canton, OH by specialty
• Home Health Agency in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.