Heritage Wellness, LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

HERITAGE WELLNESS, LLC

Practice address

4605 Texas Blvd
Texarkana, TX 75503-3028

Phone

(903) 792-0716

NPI assigned

Jul 8, 2022

Organization subpart

No

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

Authorized official

Name

Blake Rich, RN

Title

Owner/Ceo

Phone

(903) 792-0716

Specialties & licenses 1

Addresses

Other names 1

• Heritage Palliative Care Doing business as

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

{
    "created_epoch": "1657238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657238400000",
    "number": "1346973153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033028",
            "telephone_number": "903-792-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 TEXAS BLVD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755033028",
            "telephone_number": "903-792-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-08",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A",
        "authorized_official_last_name": "RICH",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "903-792-0716",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Palliative Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Julie Sloan Henderson, APRN
• Shonda Sharee Henley, COTA
• Richard Hennessey, CRNA
• Rosalyn Charmane Henry, DPT
• Heritage Hospice of Texarkana LLC
• Alaina Leigh Hernandez, FNP-C
• Chelsey Hernandez, OTD, OTR
• Lauren Brooke Hernandez, O.D.
• John Matt Hester, CRNA
• Monica Leigh Hevron, FNP-BC

• Case Management Agency in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Case Management Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.