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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
1251G00000XCommunity Based Hospice Care AgencyHSP-07104VA

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 : 1235168113
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 : ATTN: DEAN SHIPMAN
City : TOLEDO
State : OH
Zip : 43604-2615
Country : US
Telephone Number : 419-254-7841
Fax Number : 419-252-6448
Provider Business Practice Location Address
First Line : 41 OLD OYSTER POINT RD
Second Line : UNIT D
City : NEWPORT NEWS
State : VA
Zip : 23602-7177
Country : US
Telephone Number : 757-594-8215
Fax Number : 757-594-8530
Authorized Official
Title or Position : DIRECTOR
Name : MR. MARTIN D ALLEN
Credential :
Telephone Number : 419-252-5734
Provider Enumeration Date : 07/02/2006
Last Update Date : 01/23/2022

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Directions to “HEARTLAND HOSPICE SERVICES LLC ” Practice Location

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