Heartland Hospice Services, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

HEARTLAND HOSPICE SERVICES, LLC

Doing business as

ProMedica Hospice (Central WI)

Practice address

3233A Business Park Dr Ste 203
Stevens Point, WI 54482-8861

Phone

(715) 344-4541

Fax

(715) 344-4628

NPI assigned

Nov 15, 2022

Organization subpart

Yes

Parent organization

HEARTLAND HOSPICE SERVICES, LLCAs reported in NPPES

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 1

Addresses

Other names 1

• ProMedica Hospice (Central WI) Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Part of

Heartland Hospice-Tulsa

Change-of-ownership history 1

Change of ownership 1

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

• Odyssey Healthcare Holding Company

  dba Heartland

  • Community Based Hospice Care Agency
  • Stevens Point, WI
  • NPI 1265132963

  Sold to, 2023-11-01

  CMS change of ownership

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

{
    "created_epoch": "1668470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668470400000",
    "number": "1265141659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3233A BUSINESS PARK DR STE 203",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828861",
            "telephone_number": "715-344-4541",
            "fax_number": "715-344-4628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3233A BUSINESS PARK DR STE 203",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544828861",
            "telephone_number": "715-344-4541",
            "fax_number": "715-344-4628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HOSPICE SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND HOSPICE SERVICES, LLC",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-10",
        "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": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProMedica Hospice (Central WI)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Crystal A Harn, APNP
• Darcy Harry, RDH
• Mackenzie Suzanne Hau
• Jenny Havlovick, PHD, CCC-SLP
• Leah Hazzard, OTR/L
• Heartland Hospice Services, LLC (ProMedica Hospice (Central Wisconsin))
• Heartland Hospice Services, LLC (ProMedica Hospice (Stevens Point))
• Jessica Heckel
• Carolyn Marie Hedrington, ANP-BC
• Sherri L Hefferan, PT

• Community Based Hospice Care Agency in Stevens Point, WI
• Providers in Stevens Point, WI by specialty
• Community Based Hospice Care Agency in Wisconsin

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