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HEARTLAND HOSPICE SERVICES LLC NPI 1801840046


NPI Information

NPI: 1801840046
Provider Name: HEARTLAND HOSPICE SERVICES LLC

Doing Business As: PROMEDICA HOSPICE (DAYTON)

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

CLIA Number: 36D0908299

Address:
580 LINCOLN PARK BLVD
SUITE 320
KETTERING, OH
ZIP 45429
Phone: (937) 299-6980
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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 36D0908299 - home health agency 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0002XInternal MedicineHospice and Palliative MedicineNo
2251G00000XHospice Care, Community Based0121-HSPOHIOYes

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
12114983MEDICAIDOHIO

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.