| Heritage Care, Inc | |
|
4922 Lasalle Rd Hyattsville MD 20782-3302 | |
| (301) 864-2333 | |
| (301) 864-0443 |
| Full Name | Heritage Care, Inc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 4922 Lasalle Rd, Hyattsville, Maryland |
| Authorized Official Name and Position | Juan Caicedo (CEO) |
| Authorized Official Contact | 3017798653 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Care, Inc 4922 Lasalle Rd Hyattsville MD 20782-3302 Ph: (301) 864-2333 | Heritage Care, Inc 4922 Lasalle Rd Hyattsville MD 20782-3302 Ph: (301) 864-2333 |
| NPI Number | 1427316553 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 03/29/2023 |
| Medicare PECOS PAC ID | 5597741504 |
|---|---|
| Medicare Enrollment ID | O20120730000044 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427316553 | NPI | - | NPPES |
| Provider Name | Robert P Mcneil |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538365168 PECOS PAC ID: 8022289099 Enrollment ID: I20120730000164 |
| Provider Name | Stephanie Comer-concordia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508847286 PECOS PAC ID: 3375586696 Enrollment ID: I20120801000620 |
| Provider Name | Robert Frasier |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790013902 PECOS PAC ID: 5597910067 Enrollment ID: I20130307000213 |
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