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
1	207RH0002X	Hospice and Palliative Medicine (Internal Medicine) Physician
2	251G00000X	Community Based Hospice Care Agency	0121-HSP	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1801840046
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	:	580 LINCOLN PARK BLVD
Second Line	:	SUITE 320
City	:	KETTERING
State	:	OH
Zip	:	45429-3493
Country	:	US
Telephone Number	:	937-299-6980
Fax Number	:	937-293-6399

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. MARTIN D ALLEN
Credential	:
Telephone Number	:	419-252-5734

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	04/15/2022

Similar Medicare Providers

1194770453 — DAVID B SHUSTER MD
Practice Location Address:

580 LINCOLN PARK BLVD STE 255
KETTERING, OH
45429-3493

Practice Phone: 937-266-4668
Practice Fax: 866-839-8449

1811098452 — ADVANCED BREAST & COSMETIC SURGERY INC
Practice Location Address:

580 LINCOLN PARK BLVD STE 255
KETTERING, OH
45429-3493

Practice Phone: 937-949-8457
Practice Fax: 937-949-8695

1902950249 — MRS. AMY LORETTA JONES RN
Practice Location Address:

580 LINCOLN PARK BLVD STE 320
KETTERING, OH
45429-3493

Practice Phone: 937-299-6980
Practice Fax:

1568640068 — CAMBRIDGE HOME HEALTH CARE, INC
Practice Location Address:

580 LINCOLN PARK BLVD STE 101
KETTERING, OH
45429-3493

Practice Phone: 937-643-2422
Practice Fax: 937-643-2415

1023311222 — ASSISTED CARE BY BLACK STONE OF DAYTON, LLC
Practice Location Address:

580 LINCOLN PARK BLVD STE 101
KETTERING, OH
45429-3493

Practice Phone: 937-643-2422
Practice Fax: 937-643-2415

1982139176 — SPENCER ROBERT ANDERSON M.D.
Practice Location Address:

580 LINCOLN PARK BLVD STE 225
KETTERING, OH
45429-3493

Practice Phone: 937-949-8457
Practice Fax: 937-949-8695

Directions to “HEARTLAND HOSPICE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.