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	251G00000X	Community Based Hospice Care Agency	157099	PA

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	:	1841222478
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:LICENSURE-SUPPORT
City	:	TOLEDO
State	:	OH
Zip	:	43604-1531
Country	:	US
Telephone Number	:	419-252-5500
Fax Number	:	877-385-9446

Provider Business Practice Location Address
First Line	:	460 NORRISTOWN RD
Second Line	:	SUITE 101
City	:	BLUE BELL
State	:	PA
Zip	:	19422-2323
Country	:	US
Telephone Number	:	610-941-6700
Fax Number	:	610-941-6440

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	01/31/2022

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Directions to “HEARTLAND HOSPICE SERVICES LLC ” Practice Location

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