Provider Demographics
NPI:1811732845
Name:HERITAGE HOSPICE CARE LLC
Entity type:Organization
Organization Name:HERITAGE HOSPICE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOSPICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:IORIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:440-377-6037
Mailing Address - Street 1:432 S EMERSON AVE STE 230
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46143-1952
Mailing Address - Country:US
Mailing Address - Phone:765-342-2126
Mailing Address - Fax:765-342-8377
Practice Address - Street 1:432 S EMERSON AVE STE 230
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46143-1952
Practice Address - Country:US
Practice Address - Phone:765-342-2126
Practice Address - Fax:765-342-8377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based