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HEARTLAND HOSPICE SERVICES LLC NPI 1013968635


NPI Information

NPI: 1013968635
Provider Name: HEARTLAND HOSPICE SERVICES LLC

Doing Business As: PROMEDICA HOSPICE (CLEVELAND)

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

CLIA Number: 36D0899334

Address:
4807 ROCKSIDE RD
SUITE 110
INDEPENDENCE, OH
ZIP 44131
Phone: (216) 520-0765
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HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Independence, OH. HEARTLAND HOSPICE SERVICES LLC NPI is 1013968635. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Hospice (cleveland).

The provider's business location address is:

4807 ROCKSIDE RD
SUITE 110
INDEPENDENCE, OH
ZIP 44131-140
Phone: (216) 520-0765
Fax: (216) 520-1427

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 36D0899334 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 and was last updated on 11/28/2022.


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
1251G00000XHospice Care, Community Based0130HSPOHIOYes

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
12207365MEDICAIDOHIO

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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