Heartland Hospice Services, LLC

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

Legal business name

HEARTLAND HOSPICE SERVICES, LLC

Practice address

2050 Corporate Centre Dr Ste 220
Myrtle Beach, SC 29577-7428

Phone

(843) 444-0813

NPI assigned

May 5, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Martin David Allen

Title

Sole Director

Phone

(419) 252-5734

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• ProMedica Hospice (Myrtle Beach) Doing business as

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Myrtle Beach, SC
  • NPI 1457380586

  O20200619000235

  Same enrollment
• Heartland Hospice Services LLC

  • Community Based Hospice Care Agency
  • Simpsonville, SC
  • NPI 1619906757

  O20200619000235

  Same enrollment
• Heartland Hospice Services, LLC

  • Community Based Hospice Care Agency
  • Charleston, SC
  • NPI 1013946144

  O20200619000235

  Same enrollment
• Heartland Hospice Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Simpsonville, SC
  • NPI 1043959331

  O20200619000235

  Same enrollment
• Heartland Hospice Services, LLC

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • North Charleston, SC
  • NPI 1174268965

  O20200619000235

  Same enrollment

All disclosed owners & managing parties 14

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Wayne Brunson, FNP-BC

  • Family Nurse Practitioner
  • Myrtle Beach, SC
  • NPI 1538815584
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651708800000",
    "number": "1144965971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10086",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436990086",
            "telephone_number": "567-585-1191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 CORPORATE CENTRE DR STE 220",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295777428",
            "telephone_number": "843-444-0813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2022-05-05",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "SOLE DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP051",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Myrtle Beach)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Health Education Resource Outreach Community Services LLC
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• Mary Heaphy
• Hearing Health Care, P. a.
• Heartland Hospice Services LLC
• Heavenly Helpers Nursing Services LLC
• Ingrid Beth Hedrick
• Kyaw Hein, MD
• Robert J Heineck, M.D.
• Samantha Heller, BCBA

• Hospice and Palliative Medicine (Internal Medicine) Physician in Myrtle Beach, SC
• Providers in Myrtle Beach, SC by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.