Provider Demographics
NPI:1629749379
Name:HERITAGE HEALTH PARTNERS, LLC
Entity Type:Organization
Organization Name:HERITAGE HEALTH PARTNERS, LLC
Other - Org Name:HOME HEALTH PARTNERS, LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-738-7665
Mailing Address - Street 1:115 E MAIN ST # A1B-2I
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30518-5727
Mailing Address - Country:US
Mailing Address - Phone:470-738-7665
Mailing Address - Fax:
Practice Address - Street 1:2186 HAMILTON LAKE PKWY
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-4208
Practice Address - Country:US
Practice Address - Phone:678-895-5389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-22
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health