Organization
HEARTLAND HEALTH GROUP CORP
Active
Other names
Heartland Hospice
Organization subpart
No
Provider details
NPI number
Authorized official
JONALYN BERMUDEZ (CEO)
(702) 906-0505
Entity
Organization
Contact information
Practice address
2670 CHANDLER AVE STE 4, LAS VEGAS, NV 89120-4084
(240) 317-7224
Mailing address
2670 CHANDLER AVE STE 4, LAS VEGAS, NV 89120-4084
(240) 317-7224
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251G00000X
Community Based Hospice Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972248847
MEDICARE PART A
MD
01
—
1972248847
MEDICARE PART B
NV
Enumeration date
05/04/2022
Last updated
11/03/2024
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