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HEARTLAND HOSPICE SERVICES LLC NPI 1770535858


NPI Information

NPI: 1770535858
Provider Name: HEARTLAND HOSPICE SERVICES LLC

Doing Business As: PROMEDICA HOSPICE (NEWARK)

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

CLIA Number: 08D1007983

Address:
750 PRIDES CROSSING STE 110
NEWARK, DE
ZIP 19713
Phone: (302) 737-7080
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HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Newark, DE. HEARTLAND HOSPICE SERVICES LLC NPI is 1770535858. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Hospice (newark).

The provider's business location address is:

750 PRIDES CROSSING STE 110
NEWARK, DE
ZIP 19713-107
Phone: (302) 737-7080
Fax: (302) 737-7282

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 08D1007983 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 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
1315D00000XHospice, InpatientNo
2251G00000XHospice Care, Community BasedHSPC-008DELAWAREYes

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
11770535858MEDICAIDDELAWARE
20001053953MEDICAIDDELAWARE

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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