Organization
HERITAGE CARE, INC
Active
Parent organization
HERITAGE CARE, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
HERITAGE CARE, INC
Authorized official
JUAN CAICEDO (CEO)
(301) 237-6677
Entity
Organization
Contact information
Practice address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677
Mailing address
1121 RIVERSIDE AVE, BALTIMORE, MD 21230-4119
(301) 237-6677
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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