National Provider Identifier Database

HEARTLAND HOSPICE SERVICES LLC
Hospice Care, Community Based


Contact Information

HEARTLAND HOSPICE SERVICES LLC
1145 W MAIN AVE STE 205
DE PERE, WI54115-1698
Phone: 920-436-9380
Fax: 920-436-6608
Website:
Specialty Taxonomy Code
* Hospice Care, Community Based 251G00000X
Hospice and Palliative Medicine 207RH0002X

* Indicates primary specialty

NPI Profile & details for HEARTLAND HOSPICE SERVICES LLC

NPI Number 1851336358
Legal business name
LBN
HEARTLAND HOSPICE SERVICES LLC
Authorized official MARTIN ALLEN - (DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 06/18/2006
Last updated 04/15/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 2005
  • WI Medicaid: 43189200

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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