HERITAGE MEDICAL HOUSE CALL
NPI 1063778983
Home Health in Stone Mountain, GA

Active since April 04, 2012
925 MAIN STREET, SUITE 300-13, STONE MOUNTAIN, GA 30083(888) 461-9765(678) 381-1684 Get Directions Write a Review

NPPES record last updated: October 31, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Heritage Medical House Call NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HERITAGE MEDICAL HOUSE CALL (NPI 1063778983) is a healthcare organization registered as a home health in Stone Mountain, Georgia and active in the NPI registry since April 2012. The organization lists Kevin Alexander Lane, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1063778983
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameHERITAGE MEDICAL HOUSE CALL
Location Address925 MAIN STREET, SUITE 300-13Stone Mountain, GA 30083-3098
Mailing Address925 Main St, Suite 300-13Stone Mountain, GA 30083-3098 · (888) 461-9765 · Fax (678) 381-1684
Fax(678) 381-1684
Organization SubpartNo
Authorized OfficialKevin Alexander LaneOwner/member · (888) 461-9765
Enumeration DateApril 4, 2012
Last NPPES UpdateOctober 31, 2012
NPI 1063778983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License Licensed in GA · 12018049
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
925 MAIN STREET, Stone Mountain, GA 30083

Other Identifiers 1

Medicaid003124376AGA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heritage Medical House Call's NPI number?

The NPI number for Heritage Medical House Call is 1063778983. It was assigned to this organization in the NPPES registry on April 4, 2012.

Where is Heritage Medical House Call located?

Heritage Medical House Call is located at 925 Main Street Suite 300-13, Stone Mountain, GA 30083. The listed phone number is (888) 461-9765.

What is Heritage Medical House Call's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

When was this NPI record last updated?

The NPPES record for Heritage Medical House Call was last updated on October 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.