Provider Type Icon

IN HOME HEALTH LLC NPI 1184670648


NPI Information

NPI: 1184670648
Provider Name: IN HOME HEALTH LLC

Doing Business As: HEARTLAND HOSPICE SERVICES

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

CLIA Number: 11D1014928

Address:
5400 RIVERSIDE DR STE 200
MACON, GA
ZIP 31210
Phone: (478) 477-0101
Get Directions

IN HOME HEALTH LLC is a hospice care community based in Macon, GA. IN HOME HEALTH LLC NPI is 1184670648. The provider is registered as an organization entity type.
The provider Is Doing Business As Heartland Hospice Services.

The provider's business location address is:

5400 RIVERSIDE DR STE 200
MACON, GA
ZIP 31210-816
Phone: (478) 477-0101
Fax: (478) 477-9951

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 11D1014928 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 12/6/2019.


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 BasedYes
2315D00000XHospice, InpatientNo

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
1000848317DMEDICAIDGEORGIA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.