MEDICARE: HERITAGE CARE 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	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1114494234
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE CARE INC

Provider Business Mailing Address
First Line	:	321 TRAVIS ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2461
Country	:	US
Telephone Number	:	337-280-4894
Fax Number	:	337-534-8076

Provider Business Practice Location Address
First Line	:	321 TRAVIS ST
Second Line	:
City	:	LAFAYETTE
State	:	LA
Zip	:	70503-2461
Country	:	US
Telephone Number	:	337-806-9171
Fax Number	:	337-534-8076

Authorized Official
Title or Position	:	CEO
Name	:	JULIE LANDRENEAU ISENBERG
Credential	:
Telephone Number	:	337-806-9171

Provider Enumeration Date	:	10/26/2018
Last Update Date	:	12/14/2023

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Directions to “HERITAGE CARE INC ” Practice Location

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