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Contact Information

HERITAGE CARE, INC
5711 SARVIS AVE STE 100
RIVERDALE PARK, MD20737-1363
 Phone: 301-237-6677
 Fax: 301-576-3987
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Behavior Analyst

103K00000X
 

Assistant Behavior Analyst

106E00000X
 

Behavior Technician

106S00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for HERITAGE CARE, INC

NPI Number 1699496919
LBN Legal business name HERITAGE CARE, INC
Authorized official JUAN CAICEDO - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 09/06/2022
Last updated 09/06/2022 - About 4 years ago
Identifiers
MD Medicaid 448208500
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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