# HERITAGE CARE, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HERITAGE CARE, INC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1245101914
- **Legal business name:** HERITAGE CARE, INC
- **Authorized official:** JUAN CAICEDO (CEO)
- **Authorized official phone:** (301) 237-6677

## Contact information

- **Practice address:** 1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
- **Practice address phone:** (301) 237-6677
- **Mailing address:** 1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
- **Mailing address phone:** (301) 237-6677

## 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:** 09/16/2025
- **Last updated:** 09/16/2025