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52D2175745 CLIA NUMBER - HEARTLAND HOME HEATH CARE

Laboratory Demographics

CLIA Number: 52D2175745

Facility Name: HEARTLAND HOME HEATH CARE

Facility Address:
1145 W MAIN AVENUE, STE 205
DE PERE, WI
ZIP 54115
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Facility Phone Number: 920 336-6455

Facility Type: Home Health Agency

Certificate Type: Waiver
NPI Number: 1760127591

Taxonomy: 207RH0002X - Internal Medicine
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

CLIA Record

Field Name Field Value
CLIA Number 52D2175745
LAB Type Home Health Agency
Facility Name HEARTLAND HOME HEATH CARE
Street 1145 W MAIN AVENUE, STE 205
City DE PERE
State WI
ZIP 54115
Phone 920 336-6455
CertificateType 4
CertificateEffectiveDate 11/29/2023
CertificateExpirationDate 11/28/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024