Organization Active NPI

Heartland Home Care, LLC

Doing business as ProMedica Home Health Care

  • Home Health Agency
  • Clyde, OH
National Provider Identifier
1154316834
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HEARTLAND HOME CARE, LLC
Doing business as
ProMedica Home Health Care
Practice address
430 S Main St
Clyde, OH 43410-2142
Phone
(419) 435-1832
Fax
(419) 435-9511
NPI assigned
Sep 19, 2005
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Martin David Allen
Title
Director
Phone
(419) 252-5734

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary
Community Based Hospice Care Agency 251G00000X 0164HSP OH

Addresses

Primary practice location

430 S Main St
Clyde, OH 43410-2142

Mailing address

333 N Summit St
Toledo, OH 43604-1531
Phone (419) 252-5734

Other names 1

  • ProMedica Home Health Care Doing business as

National Provider Directory

National Provider Directory

Locations

1375 W Maumee St
Adrian, MI 49221
Phone (734) 529-8236

770 Riverside Ave
Ste 104
Adrian, MI 49221
Phone (517) 266-2568

119 Waterstradt Commerce Dr
Ste 5
Dundee, MI 48131
Phone (734) 529-7815

430 S Main St
Clyde, OH 43410
Phone (419) 334-6626

3103 Executive Pkwy
Ste 300
Toledo, OH 43606
Phone (419) 291-0100

4345 Secor Rd
Ste B
Toledo, OH 43623
Phone (419) 291-8247

735 S Shoop Ave
#6
Wauseon, OH 43567
Phone (419) 337-6862

NPI Registry JSON

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1154316834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-252-5734",
            "fax_number": "800-480-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 S MAIN ST",
            "city": "CLYDE",
            "state": "OH",
            "postal_code": "434102142",
            "telephone_number": "419-435-1832",
            "fax_number": "419-435-9511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-19",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-252-5734"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "OH",
            "license": "0164HSP",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clyde, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.