Healthcare Provider Details

I. General information

NPI: 1659219681
Provider Name (Legal Business Name): HERITAGE HOME HEALTH OF PIQUA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1840 W HIGH ST RM 7
PIQUA OH
45356-9399
US

IV. Provider business mailing address

1100 SHAWNEE RD
LIMA OH
45805-3529
US

V. Phone/Fax

Practice location:
  • Phone: 419-999-2010
  • Fax:
Mailing address:
  • Phone: 419-999-2010
  • Fax:

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: RICHARD GRIFFIN
Title or Position: AUTHORIZED REPRESENTATIVE
Credential:
Phone: 412-973-8707