Provider Demographics
NPI:1568507226
Name:HERITAGE HEALTHCARE SERVICES, INC.
Entity type:Organization
Organization Name:HERITAGE HEALTHCARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:MAE
Authorized Official - Middle Name:
Authorized Official - Last Name:HENDRIX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:832-724-1329
Mailing Address - Street 1:9343 NORTH LOOP E
Mailing Address - Street 2:SUITE 411
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77029-1251
Mailing Address - Country:US
Mailing Address - Phone:713-271-5599
Mailing Address - Fax:
Practice Address - Street 1:9343 NORTH LOOP E
Practice Address - Street 2:SUITE 411
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77029-1251
Practice Address - Country:US
Practice Address - Phone:713-271-5599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101111251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX453147Medicare ID - Type UnspecifiedHOME HEALTH PROVIDER #