Heritage Home Care Agency Inc.

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HERITAGE HOME CARE AGENCY INC.

Practice address

914 N Elm St Ste D
Greensboro, NC 27401-6319

Phone

(704) 779-4667

Fax

(866) 401-7629

NPI assigned

May 28, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Rico Wagner

Title

Owner

Phone

(704) 779-4667

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Heritage Home Care of Greensboro Inc. Other name

Locations

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

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696982400000",
    "number": "1417276460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14896",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154896",
            "telephone_number": "704-779-4667",
            "fax_number": "866-401-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N ELM ST STE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016319",
            "telephone_number": "704-779-4667",
            "fax_number": "866-401-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME CARE AGENCY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-28",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-779-4667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3586",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418319",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Care of Greensboro Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Krista Herbst, DPT, ATC
• Blake Daniel Herd, MA, LPA
• Kiera Hereford
• Anne Mack Herion, PA
• Heritage Home Care Agency Inc. (Heritage Home Care of Greensboro Inc.)
• Allison Herlong, PNP
• Eleanor Love Herman, LPCA, NCC
• Jessica C Herman, MS, CAT, LAT, LMBT
• Jyllian Herman
• Kevin Otey Herman, M.D.

• In Home Supportive Care Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• In Home Supportive Care Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; 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.