HEARTLAND HOSPICE SERVICES LLC NPI 1457380586

NPI Information

NPI: 1457380586
Provider Name: HEARTLAND HOSPICE SERVICES LLC

Doing Business As: HEARTLAND HOSPICE SERVICES

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

Address:
2411 N OAK ST
# 108
MYRTLE BEACH, SC
ZIP 29577
Phone: (843) 444-0813
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HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Myrtle Beach, SC. HEARTLAND HOSPICE SERVICES LLC NPI is 1457380586. 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:

2411 N OAK ST
# 108
MYRTLE BEACH, SC
ZIP 29577-164
Phone: (843) 444-0813
Fax: (843) 444-0779

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 42D1099844 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2006 and was last updated on 4/12/2017.

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		HPC-074	SOUTH CAROLINA	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	HSP051	MEDICAID	SOUTH CAROLINA
2	421545	MEDICARE OSCAR/CERTIFICATION	SOUTH CAROLINA

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: 11/14/2023

NPI Synchronization or Removal

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