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HEARTLAND HOME CARE LLC NPI 1356336028


NPI Information

NPI: 1356336028
Provider Name: HEARTLAND HOME CARE, LLC

Doing Business As: PROMEDICA HOME HEALTH (SYLVANIA)

Classification: Home Health - 251E00000X
Entity Type: Organization

CLIA Number: 36D2100653

Address:
5855 MONROE ST
SYLVANIA, OH
ZIP 43560
Phone: (419) 291-2273
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HEARTLAND HOME CARE, LLC is a home health in Sylvania, OH. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. HEARTLAND HOME CARE, LLC NPI is 1356336028. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Home Health (sylvania).

The provider's business location address is:

5855 MONROE ST
SYLVANIA, OH
ZIP 43560
Phone: (419) 291-2273
Fax: (419) 885-9136

The provider's authorized official is Martin David 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 36D2100653 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2005 and was last updated on 1/23/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251E00000XHome HealthN/AOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10577586MEDICAIDOHIO
2344492440006OTHEROHIOMEDICAL MUTUAL OF OHIO
310013OTHEROHIOPARAMOUNT HEALTH CARE
4141088OTHERMICHIGANTRINITY HEALTH PLANS
54472500MEDICAIDMICHIGAN
6141088OTHERMICHIGANCARE CHOICES
734449244002OTHEROHIOWORKMANS COMPENSATION

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

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