Organization Name: | HEARTLAND HOSPICE SERVICES LLC |
NPI Number: | 1851343768 |
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: | 2604847622 |
Fax Number: | 2604847619 |
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: | 251G00000X |
License Number: | 07-006341-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |