Organization Active NPI

Heritage Home Health Services of Indiana LLC

  • Home Health Agency
  • Lebanon, IN
National Provider Identifier
1235849464
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HOME HEALTH SERVICES OF INDIANA LLC
Practice address
1102 S Lebanon St
Lebanon, IN 46052-2717
Phone
(765) 482-6680
Fax
(765) 482-6690
NPI assigned
Nov 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Authorized official

Name
Shari Lynne Pryor, MANAGER
Title
Manager
Phone
(765) 482-6680

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1102 S Lebanon St
Lebanon, IN 46052-2717

Mailing address

7750 Paragon Rd
Dayton, OH 45459-4050
Phone (937) 291-3780

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669680000000",
    "number": "1235849464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 PARAGON RD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454594050",
            "telephone_number": "937-291-3780",
            "fax_number": "937-291-3789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 S LEBANON ST",
            "city": "LEBANON",
            "state": "IN",
            "postal_code": "460522717",
            "telephone_number": "765-482-6680",
            "fax_number": "765-482-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH SERVICES OF INDIANA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A",
        "authorized_official_last_name": "PRYOR",
        "authorized_official_first_name": "SHARI",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-482-6680",
        "authorized_official_credential": "MANAGER"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.