=====================================================
General NPI Number Information
=====================================================
NPI Number | 1891654695
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HERITAGE HOME HEALTH CARE SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/17/2026
-----------------------------------------------------
Last Update Date | 01/17/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 99 WIAND LN
-----------------------------------------------------
City | SPRING CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19475-9602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-207-7930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 99 WIAND LN
-----------------------------------------------------
City | SPRING CITY
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19475-9602
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 443-207-7930
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | JEFFERSON KPODI
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 443-207-7930
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 374U00000X
-----------------------------------------------------
Taxonomy Name | Home Health Aide
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 163WH0200X
-----------------------------------------------------
Taxonomy Name | Home Health Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------