MEDICARE: HEARTLAND HOME HEALTH CARE SERVICES INC

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
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1073714275
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND HOME HEALTH CARE SERVICES INC

Provider Business Mailing Address
First Line	:	333 N SUMMIT ST
Second Line	:	ATTN DEAN SHIPMAN
City	:	TOLEDO
State	:	OH
Zip	:	43604-1531
Country	:	US
Telephone Number	:	419-254-7841
Fax Number	:

Provider Business Practice Location Address
First Line	:	26211 CENTRAL PARK BLVD
Second Line	:	SUITE 600
City	:	SOUTHFIELD
State	:	MI
Zip	:	48076-4107
Country	:	US
Telephone Number	:	248-948-0044
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT - REIMBURSEMENTS
Name	:	MR. BARRY A LAZARUS
Credential	:
Telephone Number	:	419-252-5541

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	11/16/2009

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