Organization · NPI-2
Heartland Hospice Services LLC
Hospice Care, Community Based · Ann Arbor, MI
NPI number1962454629
StatusActive
Last updated in NPPESMay 19, 2022
Details
- NPI
- 1962454629
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Hospice Services LLC
- Organization subpart
- No
- Enumeration date
- May 17, 2006
- Certification date
- Apr 13, 2022
- Last updated
- May 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251G00000X | Hospice Care, Community Based | 253512 | MI | Yes |
Other names
- Promedica Hospice (Ann Arbor) (Doing Business As)
Practice location
3840 Packard StSuite 260
Ann Arbor, MI 48108-2280
Phone 734-973-1145 · Fax 734-973-1241
Mailing address
333 N Summit StAttn: Dean Shipman
Toledo, OH 43604-1531
Phone 419-254-7841 · Fax 419-252-6448
Authorized official
Martin D Allen
Director
4192525734
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