Hermitage Healthcare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HERMITAGE HEALTHCARE LLC

Practice address

1705 14TH PL
Plano, TX 75074-6403

Phone

(214) 551-6470

NPI assigned

Apr 13, 2023

Last updated

Apr 13, 2023By 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

Audrey Elaine Davis, RNNPI 1013618479

Title

Owner

Phone

(214) 551-6470

Specialties & licenses 2

Addresses

Other identifiers 1

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Hermitage Care Homes LLC

  dba Hermitage Care Homes

  • Adult Care Home Facility
  • Plano, TX
  • NPI 1699523829
  NPPES parent name

Practitioners 1

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.

• Audrey Elaine Davis

  • Home Health Registered Nurse
  • Plano, TX
  • NPI 1013618479
  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1578259594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 14TH PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746403",
            "telephone_number": "214-551-6470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 14TH PL",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750746403",
            "telephone_number": "214-551-6470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMITAGE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-551-6470",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1538753710",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Anesthesia PC
• Heritage Health PTX, PLLC (Heritage Counseling & Consulting)
• Hannah Herman
• Darrell Hermann, M.D.
• Hermitage Care Homes LLC (Hermitage Care Homes)
• Brittany Hernandez
• Clara Isabela Hernandez, LPC
• Elinda M Hernandez, RN-FNP
• Fernando Hernandez, MS, LAT, ATC
• Lavonne Hernandez, LPC

• Home Health Agency in Plano, TX
• Providers in Plano, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.