Provider Demographics
NPI:1669467338
Name:HEARTLAND HOME CARE, LLC
Entity Type:Organization
Organization Name:HEARTLAND HOME CARE, LLC
Other - Org Name:PROMEDICA HOME HEALTH (DUNDEE)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:419-252-5734
Mailing Address - Street 1:333 N SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43604-1531
Mailing Address - Country:US
Mailing Address - Phone:419-252-5734
Mailing Address - Fax:800-480-3780
Practice Address - Street 1:100 POWELL DR STE 1
Practice Address - Street 2:
Practice Address - City:DUNDEE
Practice Address - State:MI
Practice Address - Zip Code:48131
Practice Address - Country:US
Practice Address - Phone:517-266-1481
Practice Address - Fax:517-266-1530
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PROMEDICA HEALTH SYSTEM
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2005-09-19
Last Update Date:2022-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH10013OtherPARAMOUNT HEALTH CARE
MI141089OtherCARE CHOICES
MI141089OtherTRINITY HEALTH PLANS
MI4646708Medicaid
OH10013OtherPARAMOUNT HEALTH CARE