HEARTLAND HOSPICE SERVICES LLC NPI 1164475836

NPI Information

HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Wichita, KS. HEARTLAND HOSPICE SERVICES LLC NPI is 1164475836. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Home Health Care And Hospice.

The provider's business location address is:

2872 N. RIDGE ROAD, SUITE 122
WICHITA, KS
ZIP 67205-144
Phone: (316) 788-7626
Fax: (316) 788-8911

The provider's authorized official is Martin D Allen .
The authorized official title is Director and has the following contact phone number (419) 252-5734.

The CLIA number assigned to this NPI record is 17D0882810 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 12/4/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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