Active NPI
Heartland Hospice Services LLC
- Community Based Hospice Care Agency
- Oklahoma City, OK
National Provider Identifier
1043249246
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 4185
- Legal business name
- HEARTLAND HOSPICE SERVICES LLC
- Practice address
- 1300 S Meridian Ave
Suite 105
Oklahoma City, OK 73108-1759 - Phone
- (405) 579-8565
- Fax
- (405) 579-0192
- NPI assigned
- Jul 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Martin D Allen
- Title
- Director
- Phone
- (419) 252-5734
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 4185 | OK | Primary |
Addresses
Primary practice location
1300 S Meridian Ave
Suite 105
Oklahoma City, OK 73108-1759
Mailing address
333 N Summit St
Licensure Support
Toledo, OH 43604-1531
Phone (419) 252-5500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200010950F | Medicaid | OK |
National Provider Directory
National Provider DirectoryLocations
1300 S Meridian Ave
Ste 105
Oklahoma City, OK 73108
Phone (405) 579-8565
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Shawnee, OK
- NPI 1457831943
-
- Primary Care Nurse Practitioner
- Shawnee, OK
- NPI 1144765611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509321600000",
"number": "1043249246",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 N SUMMIT ST",
"address_2": "LICENSURE SUPPORT",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041531",
"telephone_number": "419-252-5500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 S MERIDIAN AVE",
"address_2": "SUITE 105",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731081759",
"telephone_number": "405-579-8565",
"fax_number": "405-579-0192"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND HOSPICE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-01",
"last_updated": "2017-10-30",
"status": "A",
"authorized_official_last_name": "ALLEN",
"authorized_official_first_name": "MARTIN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "419-252-5734",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "OK",
"license": "4185",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200010950F",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
- Heart Solutions Medical Center PC
- Heart Specialists PC
- Heart to Heart Hospice of Okc, LLC Dba Cura-HPC Edmond
- Heartland Healing Center LLC
- Heartland Hospice Services Inc
- Heartland Hospice-Oklahoma City
- Heartland Natural Health LLC
- Heartland Travel Health Services LLC
- Heartline, Inc.
- Hearts for Hearing Foundation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.