Organization
IN HOME HEALTH LLC
Active
Other names
ProMedica Hospice (Minneapolis), Heartland Home Health Care and Hospice, ProMedica Hospice (Eau Claire)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
3580 LINDEN AVE STE A-1, WHITE BEAR LAKE, MN 55110-4625
(651) 633-6522
(651) 633-5733
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6488
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
333520
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
091318900
—
MN
05
—
1134173446
—
WI
Enumeration date
05/20/2006
Last updated
04/15/2022
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