Organization Active NPI

Heritage Care, Inc

  • Physical Therapist
  • Baltimore, MD
National Provider Identifier
1245101914
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HERITAGE CARE, INC
Practice address
1121 Riverside Ave
Baltimore, MD 21230-4119
Phone
(301) 237-6677
NPI assigned
Sep 16, 2025
Organization subpart
Yes
Parent organization
HERITAGE CARE, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Juan Caicedo
Title
Ceo
Phone
(301) 237-6677

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

1121 Riverside Ave
Baltimore, MD 21230-4119

Mailing address

1121 Riverside Ave
Baltimore, MD 21230-4119
Phone (301) 237-6677

National Provider Directory

National Provider Directory
Tax ID family
Heritage Care Inc4 organizations share this tax ID, including this one
Part of
Heritage Care Inc

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1121 Riverside Ave
Baltimore, MD 21230
Phone (301) 237-6677

NPI Registry JSON

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1245101914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 RIVERSIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304119",
            "telephone_number": "301-237-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 RIVERSIDE AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212304119",
            "telephone_number": "301-237-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE CARE, INC",
        "enumeration_date": "2025-09-16",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "CAICEDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "301-237-6677"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.