Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Other names
ProMedica Hospice (Warrenton), ProMedica Hospice (Fairfax)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
3975 FAIR RIDGE DR STE S125, FAIRFAX, VA 22033-2924
(703) 273-8693
(703) 273-8694
Mailing address
333 N SUMMIT ST, ATTN: DEAN SHIPMAN, TOLEDO, OH 43604-2615
(419) 254-7841
(419) 252-6448
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
251G00000X
Community Based Hospice Care Agency
Primary
HSP-0768
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004910575
—
VA
Enumeration date
07/02/2006
Last updated
10/19/2023
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up