Heritage Home Care Agency Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HERITAGE HOME CARE AGENCY INC.

Practice address

914 N Elm St Ste D
Greensboro, NC 27401-6319

Phone

(704) 779-4667

Fax

(866) 401-7629

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Rico Akiva Wagner

Title

Owner

Phone

(704) 763-2186

Specialties & licenses 2

Addresses

Other names 1

• Heritage Home Care of Greensboro Inc. Doing business as

Tax ID family

Heritage Home Care Agency 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 Home Care of Greensboro Inc.

  • In Home Supportive Care Agency
  • Charlotte, NC
  • NPI 1720868912
  NPD tax ID

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1235297185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14896",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154896",
            "telephone_number": "704-779-4667",
            "fax_number": "866-401-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N ELM ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016319",
            "telephone_number": "704-779-4667",
            "fax_number": "866-401-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICO",
        "authorized_official_middle_name": "AKIVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-763-2186"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3586",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Care of Greensboro Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Teresa Herbin
• Krista Herbst, DPT, ATC
• Blake Daniel Herd, MA, LPA
• Kiera Hereford
• Anne Mack Herion, PA
• Heritage Home Care Agency Inc.
• Allison Herlong, PNP
• Eleanor Love Herman, LPCA, NCC
• Jessica C Herman, MS, CAT, LAT, LMBT
• Jyllian Herman

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.