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NPI 1790657278

NPI 1790657278 : HERITAGE HOME HEALTHCARE SERVICES, INC. : LAS CRUCES, NM

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General NPI Number Information
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    NPI Number           |    1790657278
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    Entity Type          |    Organization 
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    Legal Business Name  |    HERITAGE HOME HEALTHCARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    09/23/2025
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    Last Update Date     |    09/23/2025
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Provider Practice Location Address
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    Address Line         |    3025 TERRACE DR 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88011-5053
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    Country              |    US
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    Telephone            |    575-556-2103
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    Fax                  |    575-556-2181
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Provider Business Mailing Address
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    Address Line         |    3025 TERRACE DR 
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    City                 |    LAS CRUCES
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    State                |    NM
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    Zip                  |    88011-5053
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    Country              |    US
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    Telephone            |    575-556-2103
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    Fax                  |    575-556-2181
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Authorized Official
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    Title or Position    |    CCO
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    Name                 |     SUSAN  MARBERRY 
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    Credential           |    
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    Telephone            |    903-390-4040
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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       |    
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    License Number State |    
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