Organization Active NPI

Heritage Healthcare of Northern New Mexico, Inc.

Doing business as Heritage Home Care - Las Vegas Inc.

  • Home Health Agency
  • Las Vegas, NM
National Provider Identifier
1528363215
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3358 Issued in NM
Legal business name
HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC.
Doing business as
Heritage Home Care - Las Vegas Inc.
Practice address
1012 Mills Ave
Las Vegas, NM 87701-4049
Phone
(575) 522-2323
Fax
(575) 522-2322
NPI assigned
Jan 11, 2011
Last updated
Oct 28, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Susan Marberry
Title
Chief Compliance Officer
Phone
(903) 390-4040

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3358 NM Primary

Addresses

Primary practice location

1012 Mills Ave
Las Vegas, NM 87701-4049

Mailing address

1012 Mills Ave
Las Vegas, NM 87701-4049
Phone (575) 522-2323

Other names 1

  • Heritage Home Care - Las Vegas Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

1012 Mills Ave
Las Vegas, NM 87701
Phone (505) 454-9403

NPI Registry JSON

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

{
    "created_epoch": "1294704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1528363215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1012 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014049",
            "telephone_number": "575-522-2323",
            "fax_number": "575-522-2322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 MILLS AVE",
            "city": "LAS VEGAS",
            "state": "NM",
            "postal_code": "877014049",
            "telephone_number": "575-522-2323",
            "fax_number": "575-522-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-11",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "MARBERRY",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CHIEF COMPLIANCE OFFICER",
        "authorized_official_telephone_number": "903-390-4040"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NM",
            "license": "3358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Home Care - Las Vegas Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2025; 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.