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HEARTLAND HOME CARE LLC NPI 1184676074


NPI Information

NPI: 1184676074
Provider Name: HEARTLAND HOME CARE LLC

Doing Business As: PROMEDICA HOME HEALTH (FT. WAYNE)

Classification: Home Health - 251E00000X
Entity Type: Organization
Address:
1315 DIRECTORS ROW
SUITE 210
FT WAYNE, IN
ZIP 46808
Phone: (216) 901-1464
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HEARTLAND HOME CARE LLC is a home health in Ft Wayne, IN. 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 1184676074. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Home Health (ft. Wayne).

The provider's business location address is:

1315 DIRECTORS ROW
SUITE 210
FT WAYNE, IN
ZIP 46808-284
Phone: (216) 901-1464
Fax: (216) 986-0081

The provider's authorized official is Barry A Lazarus .
The authorized official title is Vice President - Reimbursements and has the following contact phone number (419) 252-5541.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1251F00000XHome InfusionNo
2251E00000XHome Health05-005366-1INDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1100265250MEDICAIDINDIANA

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: 5/5/2024

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