# HEARTLAND HOME CARE LLC

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

## Provider details

- **NPI number:** 1770512667
- **Authorized official:** MR. BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS)
- **Authorized official phone:** (419) 252-5541

## Contact information

- **Practice address:** 2800 ELECTRIC RD, SUITE 105-C, ROANOKE, VA 24018-3549
- **Practice address phone:** (540) 725-7600
- **Practice address fax:** (540) 725-5144
- **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 | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2006
- **Last updated:** 08/26/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004971001 | — | VA |