HERITAGE PRIDE LLC
NPI 1003427238
In Home Supportive Care in Dallas, TX

Active since August 12, 2020
4730 FAIRMOUNT ST APT 4302, DALLAS, TX 75219(682) 320-7070 Get Directions Write a Review

NPPES record last updated: August 12, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • In Home Supportive Care

About HERITAGE PRIDE LLC

This page provides the complete NPI Profile along with additional information for Heritage Pride Llc, a provider established in Dallas, Texas operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1003427238 assigned on August 2020. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Ikponmwosa Eribo (President/ Ceo)

NPI
1003427238 Verify this NPI
Provider Name
HERITAGE PRIDE LLC
Entity Type
Organization
Location Address
4730 FAIRMOUNT ST APT 4302 DALLAS, TX 75219
Location Phone
(682) 320-7070
Mailing Address
4730 FAIRMOUNT ST APT 4302 DALLAS, TX 75219
Mailing Phone
(682) 320-7070
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-12-2020
Last Update Date
08-12-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
Taxonomy Description
An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

IKPONMWOSA ERIBO

Authorized Official Title
PRESIDENT/ CEO
Authorized Official Phone
(682) 320-7070

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003427238, enumerated as an "organization" on August 12, 2020.

The provider is located at 4730 FAIRMOUNT ST APT 4302 DALLAS, TX 75219 and the phone number is (682) 320-7070.

In Home Supportive Care with taxonomy code 253Z00000X.