MEDICARE: HERITAGE HOME HEALTH SERVICES LLC

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

General Provider Information

NPI Number	:	1578147005
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERITAGE HOME HEALTH SERVICES LLC

Provider Business Mailing Address
First Line	:	5200 CLEVELAND AVE STE 1D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4756
Country	:	US
Telephone Number	:	614-804-0015
Fax Number	:

Provider Business Practice Location Address
First Line	:	5200 CLEVELAND AVE STE 1D
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43231-4756
Country	:	US
Telephone Number	:	614-804-0015
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ALI O SAID
Credential	:
Telephone Number	:	614-804-0015

Provider Enumeration Date	:	05/11/2021
Last Update Date	:	05/11/2021

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Directions to “HERITAGE HOME HEALTH SERVICES LLC ” Practice Location

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