MEDICARE: HERITAGE FAMILY HEALTH SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1053050278
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE FAMILY HEALTH SERVICES

Provider Business Mailing Address
First Line	:	116 GRANVILLE ST STE 102
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-3044
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	116 GRANVILLE ST STE 102
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43230-3044
Country	:	US
Telephone Number	:	330-603-2811
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	GLORIA BOATENG
Credential	:	NP
Telephone Number	:	303-603-2811

Provider Enumeration Date	:	06/04/2022
Last Update Date	:	06/04/2022

Similar Medicare Providers

1780548792 — EMERALD CARE HEALTHCARE LLC
Practice Location Address:

116 GRANVILLE ST STE 200
COLUMBUS, OH
43230-3044

Practice Phone: 220-238-9267
Practice Fax:

1669216446 — LOVE RENEWED WELLNESS
Practice Location Address:

116 GRANVILLE ST STE 107
COLUMBUS, OH
43230-3044

Practice Phone: 916-216-6968
Practice Fax:

1780544353 — CIRCLE OF LIGHT LLC
Practice Location Address:

116 GRANVILLE ST STE 101
COLUMBUS, OH
43230-3044

Practice Phone: 380-400-3583
Practice Fax:

1477890788 — JAMIE BRUNTON CHARITY MSED, LPCC-S
Practice Location Address:

116 GRANVILLE ST STE 105
GAHANNA, OH
43230-3044

Practice Phone: 740-525-5734
Practice Fax:

1972325629 — CENTRAL OHIO NURSING SERVICES
Practice Location Address:

116 GRANVILLE ST STE 104
GAHANNA, OH
43230-3044

Practice Phone: 614-632-9789
Practice Fax:

1730994120 — ANWAR ADAN
Practice Location Address:

116 GRANVILLE ST
GAHANNA, OH
43230-3044

Practice Phone: 614-687-7756
Practice Fax:

Directions to “HERITAGE FAMILY HEALTH SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.