Organization Active NPI

Heritage Home Health Care Services, Inc

  • Home Health Agency
  • Madison Heights, MI
National Provider Identifier
1902053051
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HERITAGE HOME HEALTH CARE SERVICES, INC
Practice address
27301 Dequinre Rd.
Ste 211
Madison Heights, MI 48071-3457
Phone
(248) 544-3565
Fax
(248) 544-3599
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Mr. Leetha B B. Shank, B.S.
Title
Administrator
Phone
(248) 544-3565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

27301 Dequinre Rd.
Ste 211
Madison Heights, MI 48071-3457

Mailing address

27301 Dequindre Rd Ste 211
Madison Heights, MI 48071-3457
Phone (248) 544-3565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081111000761 MI Part A Provider - Home Health Agency 4587723150 Practice locations: Farmington Hills, MI

Home health agency certification: CCN 239044

Legal name
HERITAGE HOME HEALTH CARE SERVICES, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 20, 2009
Last certification
Apr 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 13, 2008 in MI
Enrollment address
24333 Orchard Lake Rd
Ste a
Farmington Hills, MI 48336-1976

Care Compare: Home health agency

Medicare Care Compare
Listed as
Heritage Home Health Care Services, IncCCN 239044
Ownership
Proprietary
Certified
May 20, 2009
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 3

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Erlinda Jandoc Individual 5% Or Greater Indirect Ownership InterestVice President-Don Dec 29, 2024 50%
Corporate OfficerVice President-Don Dec 29, 2024 50%
Corporate DirectorDirector Dec 29, 2024 50%
W-2 Managing EmployeeDirector of Nursing Dec 29, 2024 50%
The Heritage Corporation Organization, Canton, MI Created for acquisition, Corporation, Holding company 5% Or Greater Direct Ownership Interest Dec 29, 2024 100%
Operational/Managerial Control Dec 29, 2024 100%
Ramon V Villanueva Individual 5% Or Greater Indirect Ownership InterestPresident & Ceo Dec 29, 2024 50%
Corporate OfficerPresident Dec 29, 2024 50%
Corporate DirectorDirector Dec 29, 2024 50%
W-2 Managing EmployeeAd; Dec 29, 2024 50%
Operational/Managerial ControlPresident & Ceo Dec 29, 2024 100%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1902053051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27301 DEQUINDRE RD STE 211",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713457",
            "telephone_number": "248-544-3565",
            "fax_number": "248-544-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27301 DEQUINRE RD.",
            "address_2": "STE 211",
            "city": "MADISON HEIGHTS",
            "state": "MI",
            "postal_code": "480713457",
            "telephone_number": "248-544-3565",
            "fax_number": "248-544-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOME HEALTH CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "SHANK",
        "authorized_official_first_name": "LEETHA B",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "248-544-3565",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.S."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison Heights, MI

Sources for this page

Verify at the official NPI Registry.