Provider Demographics
NPI:1578260162
Name:HERITAGE HOMECARE, LLC
Entity Type:Organization
Organization Name:HERITAGE HOMECARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHUKWUNYERE
Authorized Official - Middle Name:GRACIOUS
Authorized Official - Last Name:AMAKU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:346-285-1880
Mailing Address - Street 1:9898 BISSONNET ST STE 4001
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77036-8270
Mailing Address - Country:US
Mailing Address - Phone:346-285-1880
Mailing Address - Fax:
Practice Address - Street 1:9898 BISSONNET ST STE 4001
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77036-8270
Practice Address - Country:US
Practice Address - Phone:346-285-1880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-14
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Single Specialty