Heartland Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

05-005366-1 Issued in IN

Legal business name

HEARTLAND HOME CARE LLC

Doing business as

ProMedica Home Health (Ft. Wayne)

Practice address

1315 Directors Row
Suite 210
Ft Wayne, IN 46808-1284

Phone

(216) 901-1464

Fax

(216) 986-0081

NPI assigned

May 17, 2006

Last updated

Jan 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Barry A Lazarus

Title

Vice President - Reimbursements

Phone

(419) 252-5541

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• ProMedica Home Health (Ft. Wayne) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Change-of-ownership history 1

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

• East Rockets HH, LLC

  dba Heartland

  • Home Health Agency
  • Fort Wayne, IN
  • NPI 1588364806

  Sold to, 2023-11-01

  CMS change of ownership

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1184676074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 N SUMMIT ST",
            "address_2": "ATTN: DEAN SHIPMAN",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041531",
            "telephone_number": "419-254-7841",
            "fax_number": "419-252-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 DIRECTORS ROW",
            "address_2": "SUITE 210",
            "city": "FT WAYNE",
            "state": "IN",
            "postal_code": "468081284",
            "telephone_number": "216-901-1464",
            "fax_number": "216-986-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-23",
        "status": "A",
        "authorized_official_last_name": "LAZARUS",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "VICE PRESIDENT - REIMBURSEMENTS",
        "authorized_official_telephone_number": "419-252-5541",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "05-005366-1",
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100265250",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Home Health (Ft. Wayne)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heart Care LLC
• Heart of Families LLC (Heart Of Families Medical Services)
• Heart to Heart Hospice of Northeast Indiana, LLC
• Hearth at Sycamore Village
• Heartland Communities Inc
• Heartland Hospice Services LLC (ProMedica Hospice (Ft. Wayne))
• Heartland Hospice Services, LLC (ProMedica Hospice (Ft. Wayne))
• Heath Lisenby, LLC (Lisenby Counseling)
• Dustin Joseph Heath, DNP, CRNA
• Melanie J. Heath, NP

• Home Health Agency in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Home Health Agency in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 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.