Provider Demographics
NPI:1265141659
Name:HEARTLAND HOSPICE SERVICES, LLC
Entity type:Organization
Organization Name:HEARTLAND HOSPICE SERVICES, LLC
Other - Org Name:
Other - Org Type:
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 1:3233A BUSINESS PARK DR STE 203
Mailing Address - Street 2:
Mailing Address - City:STEVENS POINT
Mailing Address - State:WI
Mailing Address - Zip Code:54482-8861
Mailing Address - Country:US
Mailing Address - Phone:715-344-4541
Mailing Address - Fax:715-344-4628
Practice Address - Street 1:3233A BUSINESS PARK DR STE 203
Practice Address - Street 2:
Practice Address - City:STEVENS POINT
Practice Address - State:WI
Practice Address - Zip Code:54482-8861
Practice Address - Country:US
Practice Address - Phone:715-344-4541
Practice Address - Fax:715-344-4628
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEARTLAND HOSPICE SERVICES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-15
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based