MEDICARE: THE HERITAGE VISITING NURSE SERVICES, INC.

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	251E00000X	Home Health Agency		FL

General Provider Information

NPI Number	:	1073651253
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HERITAGE VISITING NURSE SERVICES, INC.

Provider Business Mailing Address
First Line	:	2425 E HANNA AVE
Second Line	:	SUITE 1
City	:	TAMPA
State	:	FL
Zip	:	33610-1317
Country	:	US
Telephone Number	:	813-352-3565
Fax Number	:	813-237-2756

Provider Business Practice Location Address
First Line	:	2425 E HANNA AVE
Second Line	:	SUITE 1
City	:	TAMPA
State	:	FL
Zip	:	33610-1317
Country	:	US
Telephone Number	:	813-352-3565
Fax Number	:	813-237-2756

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MR. ARTHUR SANGALANG BARLAAN
Credential	:
Telephone Number	:	813-918-0611

Provider Enumeration Date	:	02/01/2007
Last Update Date	:	08/22/2020

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