Organization Active NPI

Heritage Home Care Inc

  • Home Health Agency
  • Eufaula, OK
National Provider Identifier
1265132633
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
201217210AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
Incorporated
Feb 17, 2023 in OK
Enrollment address
100 Community Health Dr
Ste 101
Eufaula, OK 74432-4057
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heritage Home Care, IncCCN 377872 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Oct 20, 2023
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
37D2278133Heritage Home Care, Inc100 Community Health Dr, Ste 101, Eufaula, OK 74432Certificate of waiverMar 12, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Carrie Parish Individual 5% Or Greater Direct Ownership InterestSecretary Feb 17, 2023 33%
Tephanie L Neill Individual 5% Or Greater Direct Ownership Interest Feb 17, 2023 34%
W-2 Managing Employee Feb 17, 2023
Melanie Mahoney Individual 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.

View all 50

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

Verify at the official NPI Registry.