Organization
HEARTLAND HOME CARE, LLC
Active
Other names
ProMedica Hospice (Roanoke)
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN D ALLEN (DIRECTOR)
(419) 252-5500
Entity
Organization
Contact information
Practice address
2840 ELECTRIC RD STE 106A, ROANOKE, VA 24018-3551
(540) 725-7600
(877) 385-9446
Mailing address
333 N SUMMIT ST, LICENSURE SUPPORT, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1629470745
—
VA
Enumeration date
09/19/2014
Last updated
04/14/2022
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