Organization
HEARTLAND HOME CARE 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
881 MARCON BLVD, SUITE 3700, ALLENTOWN, PA 18109
(610) 432-1022
(610) 432-5788
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
251E00000X
Home Health Agency
Primary
77610501
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007566150007
—
PA
05
—
1007566150019
—
PA
Enumeration date
07/01/2006
Last updated
11/28/2011
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