# HERITAGE HOME HEALTHCARE, LLC

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

## Provider details

- **NPI number:** 1710388152
- **Authorized official:** RAJIV SINGH (OWNER)
- **Authorized official phone:** (904) 626-0311

## Contact information

- **Practice address:** 2825 N 10TH ST, SUITE A3, ST AUGUSTINE, FL 32084-1800
- **Practice address phone:** (904) 626-0311
- **Mailing address:** 2617 OAKGROVE AVE, ST AUGUSTINE, FL 32092-3602
- **Mailing address phone:** (904) 626-0311

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2014
- **Last updated:** 09/04/2014