HEARTLAND HOSPICE SERVICES LLC NPI 1851343768

NPI Information

HEARTLAND HOSPICE SERVICES LLC is a hospice care community based in Ft Wayne, IN. HEARTLAND HOSPICE SERVICES LLC NPI is 1851343768. The provider is registered as an organization entity type.
The provider Is Doing Business As Promedica Hospice (ft. Wayne).

The provider's business location address is:

1315 DIRECTORS ROW
SUITE 210
FT WAYNE, IN
ZIP 46808-284
Phone: (260) 484-7622
Fax: (260) 484-7619

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 CLIA number assigned to this NPI record is 15D0910256 - hospice with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 1/31/2022.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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.