Active NPI
Heritage Home Health Care Services, Inc
- Home Health Agency
- Madison Heights, MI
National Provider Identifier
1902053051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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, Inc
- Ownership
- Proprietary
- Certified
- May 20, 2009
- Medicare certification status
- Active
- Services
- Nursing
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Erlinda Jandoc | 5% Or Greater Indirect Ownership Interest | Dec 29, 2024 | 50% |
| Corporate Officer | Dec 29, 2024 | 50% | |
| Corporate Director | Dec 29, 2024 | 50% | |
| W-2 Managing Employee | Dec 29, 2024 | 50% | |
| The Heritage Corporation | 5% Or Greater Direct Ownership Interest | Dec 29, 2024 | 100% |
| Operational/Managerial Control | Dec 29, 2024 | 100% | |
| Ramon V Villanueva | 5% Or Greater Indirect Ownership Interest | Dec 29, 2024 | 50% |
| Corporate Officer | Dec 29, 2024 | 50% | |
| Corporate Director | Dec 29, 2024 | 50% | |
| W-2 Managing Employee | Dec 29, 2024 | 50% | |
| Operational/Managerial Control | 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.
-
- Home Health Registered Nurse
- Farmington Hills, MI
- NPI 1699583278
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
- Henry Ford Health Macomb Oakland Hospital
- Henry Ford Health Macomb-Oakland Hospital
- Henry Ford Health Macomb-Oakland Hospital
- Henry Ford Health Macomb-Oakland Hospital
- Lynette Henry, LPN
- Makenzy Sara Herman, BEHAVIOR TECHNICIAN
- Francis Hermes
- Eric G. Herron, NP
- Rachel Hetzner, RN, DNP
- Heven Medical Marketing
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.