Organization Name: | HEARTLAND HOME CARE LLC |
NPI Number: | 1184676074 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARRY A LAZARUS (VICE PRESIDENT - REIMBURSEMENTS) |
Mailing Address: | 1315 Directors Row Suite 210 Ft Wayne |
State: | IN US |
Postal Code: | 468081284 |
Phone Number: | 2169011464 |
Fax Number: | 2169860081 |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 03/15/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251F00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Home Infusion |
Taxonomy Specialization: | |
Taxonomy Definition: |