Heartland Hospice Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

82156 Issued in IA

Legal business name

HEARTLAND HOSPICE SERVICES LLC

Doing business as

ProMedica Hospice (Cedar Rapids)
ProMedica Hospice (Davenport)
ProMedica Hospice (Moline)

Practice address

4340 E 53Rd St
Davenport, IA 52807-3039

Phone

(563) 359-3540

Fax

(563) 359-9092

NPI assigned

May 18, 2006

Organization subpart

No

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 2

Addresses

Other identifiers 1

Other names 3

• ProMedica Hospice (Cedar Rapids) Doing business as
• ProMedica Hospice (Davenport) Doing business as
• ProMedica Hospice (Moline) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Locations

Change-of-ownership history 1

Change of ownership 1

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

• Curo Health Services, LLC

  • Community Based Hospice Care Agency
  • Davenport, IA
  • NPI 1164123873

  Sold to, 2023-11-01

  CMS change of ownership

Practitioners 1

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

• Krista Adamson, DNP, ARNP

  • Family Nurse Practitioner
  • Rock Island, IL
  • NPI 1316598493
  NPD

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649980800000",
    "number": "1215980891",
    "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": "436042615",
            "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": "4340 E 53RD ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073039",
            "telephone_number": "563-359-3540",
            "fax_number": "563-359-9092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 24th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "612015395",
            "country_code": "US",
            "telephone_number": "309-757-7152",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Midland Ct NE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524021922",
            "country_code": "US",
            "telephone_number": "563-359-3654",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2022-04-15",
        "certification_date": "2022-04-15",
        "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": "207RH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "IA",
            "license": "82156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0615757",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Cedar Rapids)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Davenport)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Davenport)",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProMedica Hospice (Moline)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Trevin M Hayman, MD
• HCR Manor Care
• Health From Within Davenport LLC
• Hearing Systems, Inc.
• Heartland Endocrine Group PLC
• Heartland Hospice Services, LLC
• James William Heaton IV, RN
• Alexandra Heberer, MS, CFY-SLP
• Jennifer Jo Hedges
• Aundria Heims, CNM

• Community Based Hospice Care Agency in Davenport, IA
• Providers in Davenport, IA by specialty
• Community Based Hospice Care Agency in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 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.