Organization Active NPI

Heritage Home Health Care LLC

  • In Home Supportive Care Agency
  • Eagan, MN
National Provider Identifier
1548712474
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
HERITAGE HOME HEALTH CARE LLC
Practice address
860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567
Phone
(651) 757-0422
Fax
(651) 846-5760
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Lensa Erenna
Title
Administrator
Phone
(651) 757-0422

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567

Mailing address

860 Blue Gentian Rd Ste 200
Eagan, MN 55121-1567
Phone (651) 757-0422

Other practice location 1

7760 France Ave S
Suite 1100
Minneapolis, MN 55435-5800
Phone (651) 757-0422

Other practice location 2

7760 France Ave S
Suite 1100
Minneapolis, MN 55435-5800
Phone (651) 757-0422

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1548712474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211567",
            "telephone_number": "651-757-0422",
            "fax_number": "651-846-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 BLUE GENTIAN RD STE 200",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551211567",
            "telephone_number": "651-757-0422",
            "fax_number": "651-846-5760"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7760 France Ave S",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554355800",
            "country_code": "US",
            "telephone_number": "651-757-0422",
            "fax_number": "651-846-5760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7760 France Ave S",
            "address_2": "Suite 1100",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554355800",
            "country_code": "US",
            "telephone_number": "651-757-0422",
            "fax_number": "651-846-5760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "ERENNA",
        "authorized_official_first_name": "LENSA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-757-0422"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.