Healthcare Provider Details

I. General information

NPI: 1851526370
Provider Name (Legal Business Name): HERON COMPANIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/28/2009
Last Update Date: 03/06/2025
Certification Date: 03/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 MORGAN AVENUE
DREXEL HILL PA
19026-3104
US

IV. Provider business mailing address

607 MORGAN AVENUE
DREXEL HILL PA
19026-3104
US

V. Phone/Fax

Practice location:
  • Phone: 610-259-9700
  • Fax: 610-259-9835
Mailing address:
  • Phone: 610-259-9700
  • Fax: 610-259-9835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. RICHARD P HERON
Title or Position: CEO
Credential:
Phone: 610-259-9701