Heritage Homecare of Broward, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HHA299991474 Issued in FL

Legal business name

HERITAGE HOMECARE OF BROWARD, INC.

Doing business as

Heritage Homecare

Practice address

7900 Nova Dr
Suite 201
Davie, FL 33324-5821

Phone

(954) 452-8100

Fax

(954) 424-6219

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Steven Rodriguez, BA

Title

Cfo

Phone

(954) 452-8100

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Heritage Homecare Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Home health agency certification: CCN 107658

Legal name

HERITAGE HOMECARE OF BROWARD, INC.

Doing business as

HERITAGE HOMECARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jul 6, 2001

Last certification

Oct 23, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

May 22, 2000 in FL

Enrollment address

7900 Nova Dr
Ste 201
Davie, FL 33324-5821

Listed as

Heritage HomecareCCN 107658 · All quality measures

Ownership

Proprietary

Certified

Jul 6, 2001

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 4

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

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1972553188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 NOVA DR",
            "address_2": "SUITE 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245821",
            "telephone_number": "954-452-8100",
            "fax_number": "954-424-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 NOVA DR",
            "address_2": "SUITE 201",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333245821",
            "telephone_number": "954-452-8100",
            "fax_number": "954-424-6219"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HOMECARE OF BROWARD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "954-452-8100",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "HHA299991474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "650887100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heritage Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heras Golden Years Home Health Care LLC
• Heras Wellness Group LLC
• Heras Wellness Group LLC
• Heras Wellness Group LLC
• Camelie Hercule
• Gissel Hermida, PHARMD
• Onaydis Hernandez Almager
• Ana Sarita Hernandez Concepcion
• Juan Ramon Hernandez Gonzalez, DDS
• Elsa Leonor Hernandez Hernandez, P.A.

• Home Health Agency in Davie, FL
• Providers in Davie, FL by specialty
• Home Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.

Verify at the official NPI Registry.