Organization Active NPI

Heritage Home Healthcare, LLC

  • Home Health Agency
  • St Augustine, FL
National Provider Identifier
1710388152
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HOME HEALTHCARE, LLC
Practice address
2825 N 10TH St
Suite A3
St Augustine, FL 32084-1800
Phone
(904) 626-0311
NPI assigned
Sep 4, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Authorized official

Name
Rajiv Singh
Title
Owner
Phone
(904) 626-0311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2825 N 10TH St
Suite A3
St Augustine, FL 32084-1800

Mailing address

2617 Oakgrove Ave
St Augustine, FL 32092-3602
Phone (904) 626-0311

National Provider Directory

National Provider Directory

Locations

2825 N 10th St
Ste A3
St Augustine, FL 32084
Phone (904) 626-0311

NPI Registry JSON

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

{
    "created_epoch": "1409788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409788800000",
    "number": "1710388152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 OAKGROVE AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923602",
            "telephone_number": "904-626-0311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 N 10TH ST",
            "address_2": "SUITE A3",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841800",
            "telephone_number": "904-626-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-04",
        "last_updated": "2014-09-04",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-626-0311"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; 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.