Provider Demographics
NPI:1497755284
Name:HERITAGE HOME HEALTH, INC.
Entity Type:Organization
Organization Name:HERITAGE HOME HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:G
Authorized Official - Last Name:SCHEMEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-495-6663
Mailing Address - Street 1:5861 HERITAGE PARK WAY
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-8554
Mailing Address - Country:US
Mailing Address - Phone:561-495-6663
Mailing Address - Fax:561-495-0519
Practice Address - Street 1:5861 HERITAGE PARK WAY
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-8554
Practice Address - Country:US
Practice Address - Phone:561-495-6663
Practice Address - Fax:561-495-0519
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-07-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA21930096251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL107599Medicare ID - Type UnspecifiedPROVIDER NUMBER