Healthcare Provider Details

I. General information

NPI: 1790657278
Provider Name (Legal Business Name): HERITAGE HOME HEALTHCARE SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2025
Last Update Date: 09/23/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3025 TERRACE DR
LAS CRUCES NM
88011-5053
US

IV. Provider business mailing address

3025 TERRACE DR
LAS CRUCES NM
88011-5053
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 Number
License Number State

VIII. Authorized Official

Name: SUSAN MARBERRY
Title or Position: CCO
Credential:
Phone: 903-390-4040