Healthcare Provider Details

I. General information

NPI: 1396776233
Provider Name (Legal Business Name): HERITAGE HOME CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 FRANKLIN ST
TORONTO OH
43964-1153
US

IV. Provider business mailing address

1005 FRANKLIN AVE
TORONTO OH
43964
US

V. Phone/Fax

Practice location:
  • Phone: 740-537-1352
  • Fax: 740-537-2064
Mailing address:
  • Phone: 740-537-1352
  • Fax: 740-537-2064

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: MRS. CARLA KAY KUNTUPIS
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 740-537-1352