Heritage Home Care of Charlotte

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

HERITAGE HOME CARE OF CHARLOTTE

Practice address

10610 Metromont Pkwy Ste 202
Charlotte, NC 28269-7607

Phone

(704) 763-2168

Fax

(866) 401-7629

NPI assigned

Nov 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Rico A Wagner

Title

Director

Phone

(704) 763-2168

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1353974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1659616985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10610 METROMONT PKWY STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697607",
            "telephone_number": "704-763-2168",
            "fax_number": "866-401-7629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10610 METROMONT PKWY STE 202",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697607",
            "telephone_number": "704-763-2168",
            "fax_number": "866-401-7629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME CARE OF CHARLOTTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-27",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "RICO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "704-763-2168",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miyah Alyse Herbin, MSN, APRN, WHNP-BC
• Megan A Herbst
• Herealgood, LLC
• Nicole Hereim
• Teal M Herendeen, OMT
• Heritage Home Care of Greensboro Inc.
• Heritage Homecare of Gastonia
• Heritage House Human Services Inc
• Heritage Regenerative Medicine Inc.
• Timothy Gordon Herlihy, OT/L

• In Home Supportive Care Agency in Charlotte, NC
• Providers in Charlotte, 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 Aug 28, 2024; 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.