# IN HOME HEALTH LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Home Health Care and Hospice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619928298
- **Authorized official:** MR. BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 63 W PIONEER RD, FOND DU LAC, WI 54935-6151
- **Practice address phone:** (262) 334-1988
- **Practice address fax:** (262) 334-1394
- **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 | 1024 | WI | Yes |

## Other

- **Enumeration date:** 05/16/2006
- **Last updated:** 03/15/2013