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General NPI Number Information
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NPI Number | 1043293087
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Entity Type | Organization
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Legal Business Name | HERITAGE HOME HEALTH LLC
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Dates
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Enumeration Date | 11/23/2005
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 1150 S MASON RD STE 108
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City | KATY
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State | TX
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Zip | 77450-3935
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Country | US
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Telephone | 979-848-8925
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Fax | 979-848-8565
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Provider Business Mailing Address
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Address Line | 6760 OLD JACKSONVILLE HWY SUITE 101
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City | TYLER
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State | TX
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Zip | 75703-0572
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Country | US
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Telephone | 855-485-8273
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Fax |
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Authorized Official
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Title or Position | CHIEF GROWTH OFFICER
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Name | KATRINA DAWN LANIER
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Credential | LVN
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Telephone | 855-485-8273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 003340
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License Number State | TX
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