HEARTLAND HOSPICE-MONTEREY NPI 1396860714

NPI Information

NPI: 1396860714
Provider Name: HEARTLAND HOSPICE-MONTEREY
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization

CLIA Number: 05D1010352

Address:
2511 GARDEN RD
SUITE B200
MONTEREY, CA
ZIP 93940
Phone: (831) 373-8442
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HEARTLAND HOSPICE-MONTEREY is a hospice care community based in Monterey, CA. HEARTLAND HOSPICE-MONTEREY NPI is 1396860714. The provider is registered as an organization entity type.

The provider's business location address is:

2511 GARDEN RD
SUITE B200
MONTEREY, CA
ZIP 93940-330
Phone: (831) 373-8442
Fax: (831) 373-8444

The provider's authorized official is Dovirn Denise Dotson .
The authorized official title is Account Receivable Supervisor and has the following contact phone number 18004271902.

The CLIA number assigned to this NPI record is 05D1010352 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2007 and was last updated on 8/22/2020.

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
1	251G00000X	Hospice Care, Community Based				Yes

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
1	HPC01692F	MEDICAID	CALIFORNIA

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

NPI Synchronization or Removal

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