Organization
HEARTLAND HOSPICE SERVICES LLC
Active
Other names
ProMedica Hospice (Dayton), Heartland Home Health Care and Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
580 LINCOLN PARK BLVD, SUITE 320, KETTERING, OH 45429-3493
(937) 299-6980
(937) 293-6399
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
0121-HSP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2114983
—
OH
Enumeration date
05/20/2006
Last updated
04/15/2022
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