Healthcare Provider Details

I. General information

NPI: 1134140486
Provider Name (Legal Business Name): HERITAGE HEALTH CARE SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

6797 N HIGH ST SUITE 101
WORTHINGTON OH
43085-2533
US

IV. Provider business mailing address

5640 SOUTHWYCK BLVD SUITE 203
TOLEDO OH
43614-1569
US

V. Phone/Fax

Practice location:
  • Phone: 614-848-6550
  • Fax:
Mailing address:
  • Phone:
  • 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: RITCH ADAMS
Title or Position: PRESIDENT
Credential:
Phone: 419-867-2002