# HEARTLAND HOME CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ProMedica Home Health (Ft. Wayne)
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184676074
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 1315 DIRECTORS ROW, SUITE 210, FT WAYNE, IN 46808-1284
- **Practice address phone:** (216) 901-1464
- **Practice address fax:** (216) 986-0081
- **Mailing address:** 333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
- **Mailing address phone:** (419) 254-7841
- **Mailing address fax:** (419) 252-6448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 05-005366-1 | IN | Yes |
| 251F00000X | Home Infusion Agency | — | NULL | — |

## Other

- **Enumeration date:** 05/17/2006
- **Last updated:** 01/23/2022