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Organization
HERITAGE HOMECARE SERVICES INC.
Active
Organization
HERITAGE HOMECARE SERVICES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY NOVIKOV (CFO)
(917) 655-1572
Entity
Organization
Contact information
Practice address
1906 KINGS HWY FL 2, BROOKLYN, NY 11229-1314
(917) 655-1572
(718) 750-4033
Mailing address
1906 KINGS HWY FL 2, BROOKLYN, NY 11229-1314
(917) 655-1572
(718) 750-4033
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
PFI 1733L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04023534
—
NY
Enumeration date
03/29/2017
Last updated
02/22/2023
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