HEARTLAND HOSPICE SERVICES LLC NPI 1801840046

NPI Information

NPI: 1801840046
Provider Name: HEARTLAND HOSPICE SERVICES LLC
Classification: Hospice Care, Community Based - 251G00000X
Entity Type: Organization
Doing Business As: PROMEDICA HOSPICE (DAYTON)
CLIA Number: 36D0856787
Address: 580 LINCOLN PARK BLVD
SUITE 320
KETTERING, OH
ZIP 45429
Phone: (937) 299-6980

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NPI Details

HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Kettering, OH. HEARTLAND HOSPICE SERVICES LLC NPI is 1801840046. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Promedica Hospice (dayton).

The provider's business location address is:

580 LINCOLN PARK BLVD
SUITE 320
KETTERING, OH
ZIP 45429-493
Phone: (937) 299-6980
Fax: (937) 293-6399

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 36D0856787 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 4/15/2022.

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
1	207RH0002X	Internal Medicine	Hospice and Palliative Medicine			No
2	251G00000X	Hospice Care, Community Based		0121-HSP	OHIO	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	2114983	MEDICAID	OHIO

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: 11/21/2025

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