| Organization Name: | HERITAGE HOME HEALTHCARE & HOSPICE, INC. |
| NPI Number: | 1932125770 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN W. RICKETTS (CFO) |
| Mailing Address: | 3721 Rutledge Rd Ne Suite 310 Albuquerque |
| State: | NM US |
| Postal Code: | 871095566 |
| Phone Number: | 5057963200 |
| Fax Number: | 5057963234 |
| NPI Enumeration Date: | 07/14/2006 |
| NPI Last Update Date: | 03/20/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251G00000X |
| License Number: | 3205 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Hospice Care, Community Based |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |