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NPI Code Detail

MEDICARE: HEARTLAND HOSPICE AND HOME HEALTH LLC

MEDICARE: HEARTLAND HOSPICE AND HOME HEALTH 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 Agency016576TX
2251F00000XHome Infusion AgencyTX
3251E00000XHome Health AgencyTX

General Provider Information

NPI Number : 1629471990
Entity Type Code : Organization
Provider Name (Legal Business Name) : HEARTLAND HOSPICE AND HOME HEALTH LLC
Provider Business Mailing Address
First Line : 109 W BENTON AVE STE B
Second Line :
City : DEVINE
State : TX
Zip : 78016-2948
Country : US
Telephone Number : 830-663-8088
Fax Number : 844-374-9968
Provider Business Practice Location Address
First Line : 109 W BENTON AVE STE B
Second Line :
City : DEVINE
State : TX
Zip : 78016-2948
Country : US
Telephone Number : 830-663-8088
Fax Number : 844-374-9968
Authorized Official
Title or Position : ADMINISTRATOR
Name : GEORGE LIECK
Credential :
Telephone Number : 830-663-8088
Provider Enumeration Date : 10/01/2014
Last Update Date : 11/16/2015

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Directions to “HEARTLAND HOSPICE AND HOME HEALTH LLC ” Practice Location

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