MEDICARE: HERITAGE HOME HEALTH OF MANSFIELD, LLC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1447198460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE HOME HEALTH OF MANSFIELD, LLC

Provider Business Mailing Address
First Line	:	1100 SHAWNEE RD
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45805-3529
Country	:	US
Telephone Number	:	419-999-2010
Fax Number	:

Provider Business Practice Location Address
First Line	:	43 E 4TH ST
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44902-1303
Country	:	US
Telephone Number	:	419-999-2010
Fax Number	:

Authorized Official
Title or Position	:	AUTHORIZED REPRESENTATIVE
Name	:	RICHARD GRIFFIN
Credential	:
Telephone Number	:	412-973-8707

Provider Enumeration Date	:	03/23/2026
Last Update Date	:	03/23/2026

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