Heritage Care, Inc

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

HERITAGE CARE, INC

Practice address

5711 Sarvis Ave Ste 100
Riverdale, MD 20737-1363

Phone

(301) 237-6677

NPI assigned

Apr 26, 2012

Last updated

Mar 18, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Juan CaicedoNPI 1568217164

Title

Chief Executive Officer

Phone

(301) 237-6677

Specialties & licenses 5

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Tax ID family

Heritage Care Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

• Heritage Care, Inc

  • Physical Therapist
  • Baltimore, MD
  • NPI 1245101914
  NPD tax ID
• Heritage Care, Inc

  • Health Educator
  • Riverdale, MD
  • NPI 1316535925
  NPD tax ID
• Heritage Care, Inc

  • Behavior Analyst
  • Riverdale, MD
  • NPI 1699496919
  NPD tax ID

Interoperability endpoints

• Direct secure messaging: wellness@heritagecare.org

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Stephanie Susan Comer-Concordia, CRNP

  • Nurse Practitioner
  • Frederick, MD
  • NPI 1508847286

  DC

  Medicare reassignment NPD
• Robert McNeil, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Hyattsville, MD
  • NPI 1538365168

  DC

  Medicare reassignment NPD
• Juan Caicedo

  • Health Educator
  • Hyattsville, MD
  • NPI 1568217164
  Authorized official Same address or phone
• Robert Frasier, PHD

  • Psychologist
  • Crofton, MD
  • NPI 1790013902
  NPD

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

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1427316553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371363",
            "telephone_number": "301-864-2333",
            "fax_number": "301-237-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 SARVIS AVE STE 100",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371363",
            "telephone_number": "301-237-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "CAICEDO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "301-237-6677"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wellness@heritagecare.org",
            "affiliation": "N",
            "endpointDescription": "HCI email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "5711 Sarvis Ave Ste 100",
            "city": "Riverdale",
            "state": "MD",
            "country_code": "US",
            "postal_code": "207371363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Speech-Language Pathologist in Riverdale, MD
• Providers in Riverdale, MD by specialty
• Speech-Language Pathologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.