| Organization Name: | HERITAGE HOME HEALTH CARE LLC |
| NPI Number: | 1003244500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LENSA BEFEKADU ERENNA (OWNER/MANAGER) |
| Mailing Address: | 1940 Duke St Suite 200 Alexandria |
| State: | VA US |
| Postal Code: | 223143451 |
| Phone Number: | 5712941410 |
| Fax Number: | 7037736983 |
| NPI Enumeration Date: | 10/17/2013 |
| NPI Last Update Date: | 10/17/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | HCO-141019 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |