Healthcare Provider Details

I. General information

NPI: 1548193873
Provider Name (Legal Business Name): HERITAGE SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7409 PLAINVIEW TER
COLUMBIA MD
21044-4487
US

IV. Provider business mailing address

7409 PLAINVIEW TER
COLUMBIA MD
21044-4487
US

V. Phone/Fax

Practice location:
  • Phone: 443-825-0549
  • Fax:
Mailing address:
  • Phone: 443-825-0549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SUKHWINDER KAUR
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 443-825-0549