Healthcare Provider Details

I. General information

NPI: 1316029549
Provider Name (Legal Business Name): HERITAGE HOME HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 10/28/2025
Certification Date: 10/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6700 JEFFERSON ST NE BLDG D2
ALBUQUERQUE NM
87109-4394
US

IV. Provider business mailing address

6700 JEFFERSON ST NE BLDG D2
ALBUQUERQUE NM
87109-4394
US

V. Phone/Fax

Practice location:
  • Phone: 575-556-2103
  • Fax: 575-556-2181
Mailing address:
  • Phone: 575-556-2103
  • Fax: 575-556-2181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number3003
License Number StateNM

VIII. Authorized Official

Name: SUSAN MARBERRY
Title or Position: CHIEF COMPLIANCE OFFICER
Credential:
Phone: 903-390-4040