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NPI Code Detail

MEDICARE: HERITAGE CARE INC

MEDICARE: HERITAGE CARE INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist
2225100000XPhysical Therapist
3225X00000XOccupational Therapist

General Provider Information

NPI Number : 1225035058
Entity Type Code : Organization
Provider Name (Legal Business Name) : HERITAGE CARE INC
Provider Business Mailing Address
First Line : 4922 LASALLE RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3302
Country : US
Telephone Number : 301-237-6677
Fax Number : 301-576-3987
Provider Business Practice Location Address
First Line : 4922A LASALLE RD
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20782-3302
Country : US
Telephone Number : 301-237-6677
Fax Number : 301-576-3987
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : JUAN CAICEDO
Credential :
Telephone Number : 301-237-6677
Provider Enumeration Date : 07/07/2005
Last Update Date : 04/21/2025

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Directions to “HERITAGE CARE INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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