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NPI Code Detail

MEDICARE: HEARTLAND HOSPICE SERVICES, LLC

MEDICARE: HEARTLAND HOSPICE SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0002XHospice and Palliative Medicine (Internal Medicine) Physician
2251G00000XCommunity Based Hospice Care AgencyHPC-075SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1013946144
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND HOSPICE SERVICES, LLC
Provider Business Mailing Address
First Line : 333 N SUMMIT ST
Second Line :
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-254-7841
Fax Number : 419-252-6648
Provider Business Practice Location Address
First Line : 7410 NORTHSIDE DR STE 250
Second Line :
City : CHARLESTON
State : SC
Zip : 29420-4292
Country : US
Telephone Number : 843-766-7646
Fax Number : 843-766-9766
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 07/01/2006
Last Update Date : 04/14/2022

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Directions to “HEARTLAND HOSPICE SERVICES, LLC ” Practice Location

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