Provider Demographics
NPI:1215538236
Name:HERITAGE HEALTH & HOME CARE LLC
Entity Type:Organization
Organization Name:HERITAGE HEALTH & HOME CARE LLC
Other - Org Name:HERITAGE HEALTH & HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:RN,MSN
Authorized Official - Prefix:
Authorized Official - First Name:BATULIO
Authorized Official - Middle Name:
Authorized Official - Last Name:LOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR
Authorized Official - Phone:347-645-0249
Mailing Address - Street 1:10000 LINCOLN DR E STE 201
Mailing Address - Street 2:
Mailing Address - City:MARLTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08053-3105
Mailing Address - Country:US
Mailing Address - Phone:973-873-5833
Mailing Address - Fax:973-863-2302
Practice Address - Street 1:10000 LINCOLN DR E STE 201
Practice Address - Street 2:
Practice Address - City:MARLTON
Practice Address - State:NJ
Practice Address - Zip Code:08053-3105
Practice Address - Country:US
Practice Address - Phone:973-873-5833
Practice Address - Fax:973-265-7050
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-05
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health