# HERITAGE HEALTHCARE OF NORTHERN NEW MEXICO, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Home Care - Las Vegas Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104155753
- **Authorized official:** SUSAN MARBERRY (CCO)
- **Authorized official phone:** (903) 390-4040

## Contact information

- **Practice address:** 1012 MILLS AVE, LAS VEGAS, NM 87701-4049
- **Practice address phone:** (575) 522-2323
- **Practice address fax:** (575) 522-2322
- **Mailing address:** 1012 MILLS AVE, LAS VEGAS, NM 87701-4049
- **Mailing address phone:** (575) 522-2323
- **Mailing address fax:** (575) 522-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 002570 | NM | Yes |

## Other

- **Enumeration date:** 12/10/2009
- **Last updated:** 08/25/2026