| Organization Name: | HERITAGE SENIOR HOME CARE LLC |
| NPI Number: | 1770958316 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL J MILLER (MANAGER) |
| Mailing Address: | 4650 Westbranch Hwy Suite #110 Lewisburg |
| State: | PA US |
| Postal Code: | 178376670 |
| Phone Number: | 5707684747 |
| Fax Number: | |
| NPI Enumeration Date: | 12/08/2015 |
| NPI Last Update Date: | 03/07/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 21833601 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |