Active NPI
Heritage Home Care Inc
- Home Health Agency
- Eufaula, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- HERITAGE HOME CARE INC
- Practice address
- 100 Community Health Drive
Suite 101
Eufaula, OK 74432 - Phone
- (918) 917-3529
- NPI assigned
- Mar 6, 2023
- Last updated
- Feb 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Melanie D Mahoney
- Title
- VP
- Phone
- (918) 707-5049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | Primary |
Addresses
Primary practice location
100 Community Health Drive
Suite 101
Eufaula, OK 74432
Mailing address
100 Community Health Drive
Suite 101
Eufaula, OK 74432
Phone (918) 707-5049
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201217210A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20230829002122 | OK | Part A Provider - Home Health Agency | 9739542457 | Practice locations: Eufaula, OK; Poteau, OK |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1265132633. Details of each certification follow.
Home health agency certification: CCN 377872
- Legal name
- HERITAGE HOME CARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 20, 2023
- Last certification
- Oct 6, 2023
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Incorporated
- Feb 17, 2023 in OK
- Enrollment address
- 100 Community Health Dr
Ste 101
Eufaula, OK 74432-4057
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Heritage Home Care, Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Oct 20, 2023
- Medicare certification status
- Active
- Services
- Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D2278133 | Heritage Home Care, Inc | Certificate of waiver | Mar 12, 2027 |
National Provider Directory
National Provider DirectoryLocations
100 Community Health Dr
Ste 101
Eufaula, OK 74432
Phone (918) 689-9130
Ownership & related parties
All disclosed owners & managing parties 3
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Carrie Parish | 5% Or Greater Direct Ownership Interest | Feb 17, 2023 | 33% |
| Tephanie L Neill | 5% Or Greater Direct Ownership Interest | Feb 17, 2023 | 34% |
| W-2 Managing Employee | Feb 17, 2023 | ||
| Melanie Mahoney | 5% Or Greater Direct Ownership Interest | Feb 17, 2023 | 33% |
Practitioners & affiliated clinicians
Affiliated clinicians 50
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
- Tulsa, OK
- NPI 1649221177
Home health agency
-
- Family Nurse Practitioner
- Spiro, OK
- NPI 1033837000
Home health agency
-
- Family Nurse Practitioner
- Stigler, OK
- NPI 1831462134
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771804800000",
"number": "1265132633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 COMMUNITY HEALTH DRIVE",
"address_2": "SUITE 101",
"city": "EUFAULA",
"state": "OK",
"postal_code": "74432",
"telephone_number": "918-707-5049",
"fax_number": "539-269-2150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 COMMUNITY HEALTH DRIVE",
"address_2": "SUITE 101",
"city": "EUFAULA",
"state": "OK",
"postal_code": "74432",
"telephone_number": "918-917-3529"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HOME CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-06",
"last_updated": "2026-02-23",
"certification_date": "2026-02-23",
"status": "A",
"authorized_official_last_name": "MAHONEY",
"authorized_official_first_name": "MELANIE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "918-707-5049"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201217210A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eufaula, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.