Organization · NPI-2
Heartland Hospice Services LLC
Hospice Care, Community Based · Newport News, VA
NPI number1235168113
StatusActive
Last updated in NPPESJan 23, 2022
Details
- NPI
- 1235168113
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Hospice Services LLC
- Organization subpart
- No
- Enumeration date
- Jul 2, 2006
- Certification date
- Jan 23, 2022
- Last updated
- Jan 23, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | HSP-07104 | VA | Yes |
Other names
- Promedica Hospice (Newport News) (Doing Business As)
Practice location
41 Old Oyster Point RdUnit D
Newport News, VA 23602-7177
Phone 757-594-8215 · Fax 757-594-8530
Mailing address
333 N Summit StAttn: Dean Shipman
Toledo, OH 43604-2615
Phone 419-254-7841 · Fax 419-252-6448
Authorized official
Martin D Allen
Director
4192525734
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