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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 Specialty Code Provider Type

Hospice Care, Community Based

251G00000X B4[14] Hospice
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for HEARTLAND HOSPICE SERVICES LLC

NPI # 1851336358
LBN Legal business name HEARTLAND HOSPICE SERVICES LLC
Authorized official MARTIN ALLEN - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2006
Last updated 04/15/2022 - About 4 years ago
Identifiers
WI License # 2005
WI Medicaid 43189200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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