# HERITAGE HEALTHCARE INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225176258
- **Authorized official:** MR. PAUL THOMAS SHAW (PRESIDENT)
- **Authorized official phone:** (864) 244-3626

## Contact information

- **Practice address:** 536 OLD HOWELL ROAD, GREENVILLE, SC 29615-1969
- **Practice address phone:** (864) 244-3626
- **Practice address fax:** (864) 244-3093
- **Mailing address:** 536 OLD HOWELL ROAD, GREENVILLE, SC 29615-1969
- **Mailing address phone:** (864) 244-3626
- **Mailing address fax:** (864) 244-3093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 235Z00000X | Speech-Language Pathologist | — | NULL | — |
| 235Z00000X | Speech-Language Pathologist | — | — | — |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 09/11/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2532 | — | SC |