Organization
IN HOME HEALTH LLC
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
1000 LAKES DR, SUITE 225, WEST COVINA, CA 91790-2900
(626) 918-1207
(626) 918-4918
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-1531
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
980001300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HPC-01695F
—
CA
Enumeration date
05/16/2006
Last updated
03/15/2013
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