HEARTLAND HOSPICE SERVICES LLC NPI 1346295813

NPI Information

NPI: 1346295813
Provider Name: HEARTLAND HOSPICE SERVICES LLC

Doing Business As: PROMEDICA HOSPICE (FLINT)

Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 23D2041365

Address:
3031 AIRPARK DR N
FLINT, MI
ZIP 48507
Phone: (810) 230-1318
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HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Flint, MI. HEARTLAND HOSPICE SERVICES LLC NPI is 1346295813. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Hospice (flint).

The provider's business location address is:

3031 AIRPARK DR N
FLINT, MI
ZIP 48507-471
Phone: (810) 230-1318
Fax: (810) 230-1619

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 23D2041365 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 2/16/2023.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based		253517	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1436970	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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