Organization
IN HOME HEALTH, INC.
Active
Other names
Heartland Home Health Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY A. LAZARUS (VICE PRESIDENT-REIMBURSEMENTS)
(419) 252-5541
Entity
Organization
Contact information
Practice address
1661 E CAMELBACK RD, SUITE 240, PHOENIX, AZ 85016-3911
(602) 265-9909
(602) 265-5950
Mailing address
333 N SUMMIT ST, DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA0089
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120634 AHCCCS
—
AZ
Enumeration date
05/15/2006
Last updated
08/22/2020
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